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General NPI Number Information
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NPI Number | 1134248412
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Entity Type | Organization
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Legal Business Name | WEST COUNTY PULMONARY ASSOCIATES
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 505 COUCH AVE SUITE 210
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City | KIRKWOOD
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State | MO
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Zip | 63122-5568
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Country | US
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Telephone | 314-822-3122
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Fax | 314-821-7362
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Provider Business Mailing Address
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Address Line | 505 COUCH AVE SUITE 210
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City | KIRKWOOD
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State | MO
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Zip | 63122-5568
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Country | US
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Telephone | 314-822-3122
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Fax | 314-821-7362
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KIRK E FLURY
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Credential | MD
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Telephone | 314-822-3122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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