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General NPI Number Information
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NPI Number | 1144262650
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Entity Type | Organization
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Legal Business Name | ALLIANCE PULMONARY ASSOCIATES INC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 270 E STATE ST SUITE #240
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City | ALLIANCE
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State | OH
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Zip | 44601
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Country | US
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Telephone | 330-596-6560
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Fax | 330-823-6449
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Provider Business Mailing Address
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Address Line | 270 E STATE ST SUITE #240
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City | ALLIANCE
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State | OH
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Zip | 44601
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Country | US
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Telephone | 330-596-6560
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Fax | 330-823-6449
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. ABDUL BASIT BASIT
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Credential | MD
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Telephone | 330-596-6560
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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 | 35078091
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License Number State | OH
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