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General NPI Number Information
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NPI Number | 1194806265
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Entity Type | Organization
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Legal Business Name | BRANSON PULMONOLOGY AND SLEEP LLC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 875 E STATE HIGHWAY 76 SUITE A
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City | BRANSON
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State | MO
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Zip | 65616
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Country | US
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Telephone | 417-334-5864
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Fax | 417-334-4978
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Provider Business Mailing Address
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Address Line | PO BOX 219
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City | BRANSON
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State | MO
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Zip | 65615
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Country | US
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Telephone | 417-334-5864
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Fax | 417-334-4978
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HABIB G MUNSHI
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Credential |
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Telephone | 417-334-5864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 116317
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License Number State | MO
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