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General NPI Number Information
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NPI Number | 1174523831
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Entity Type | Organization
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Legal Business Name | BARLOW PULMONARY MED GRP INC
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2000 STADIUM WAY
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City | LOS ANGELES
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State | CA
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Zip | 90026-2606
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Country | US
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Telephone | 213-250-4200
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Fax | 213-250-3274
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Provider Business Mailing Address
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Address Line | 2000 STADIUM WAY
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City | LOS ANGELES
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State | CA
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Zip | 90026-2606
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Country | US
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Telephone | 213-250-4200
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Fax | 213-250-3274
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. VICTORIA S MELCHOR
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Credential |
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Telephone | 213-250-4200
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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 | W10197/GR0026170
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | W10197/GR0026170
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License Number State | CA
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