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General NPI Number Information
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NPI Number | 1194631010
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Entity Type | Organization
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Legal Business Name | LUNG INNOVATIONS NETWORK PC
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 100 HOSPITAL AVE
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City | DU BOIS
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State | PA
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Zip | 15801-1440
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Country | US
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Telephone | 814-940-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 190 W PARK AVE STE 6
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City | DU BOIS
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State | PA
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Zip | 15801-2277
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SANDEEP BANSAL
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Credential | MD
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Telephone | 812-374-4083
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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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