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General NPI Number Information
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NPI Number | 1174749246
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Entity Type | Organization
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Legal Business Name | PULMONARY AND CRITICAL CARE CONSULTANTS INC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 2600 REDONDO AVE STE 400
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City | LONG BEACH
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State | CA
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Zip | 90806-2330
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Country | US
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Telephone | 562-424-8307
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Fax | 562-424-2007
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Provider Business Mailing Address
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Address Line | PO BOX 41297
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City | LONG BEACH
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State | CA
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Zip | 90853-1297
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Country | US
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Telephone | 562-424-8307
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Fax | 562-424-2007
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE HUTHSTEINER II
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Credential | MD
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Telephone | 562-424-8307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | G40478
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | G40478
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License Number State | CA
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