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General NPI Number Information
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NPI Number | 1205048956
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Entity Type | Organization
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Legal Business Name | COLLIN COUNTY PULMONARY ASSOCIATES
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 1101 RAINTREE CIR STE 100
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City | ALLEN
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State | TX
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Zip | 75013-4999
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Country | US
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Telephone | 972-964-0170
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Fax | 972-596-8928
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Provider Business Mailing Address
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Address Line | 1101 RAINTREE CIR STE 100
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City | ALLEN
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State | TX
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Zip | 75013-4999
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Country | US
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Telephone | 972-964-0170
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Fax | 972-596-8928
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TIMOTHY R CHAPPELL
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Credential | MD
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Telephone | 972-964-0170
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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 | 207RP1001X
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License Number State | TX
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