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General NPI Number Information
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NPI Number | 1174581144
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Entity Type | Organization
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Legal Business Name | LUNG CONSULTANTS PLLC
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5716 HICKORY PLZ STE 200
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City | NASHVILLE
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State | TN
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Zip | 37211-8546
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Country | US
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Telephone | 615-315-0030
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Fax | 615-315-0102
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Provider Business Mailing Address
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Address Line | 5543 EDMONDSON PIKE #44
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City | NASHVILLE
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State | TN
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Zip | 37211
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Country | US
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Telephone | 615-315-0030
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Fax | 615-315-0102
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Authorized Official
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Title or Position | PHYSICIAN
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Name | OLUSOLA OLANREWAJU OGUNTOLU
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Credential | MD
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Telephone | 615-315-0030
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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 | MD36290
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License Number State | TN
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