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General NPI Number Information
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NPI Number | 1205904752
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Entity Type | Organization
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Legal Business Name | VALLEY PULMONARY & CRITICAL CARE, P.C.
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 1101 SOMERVILLE RD SE
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City | DECATUR
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State | AL
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Zip | 35601-3242
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Country | US
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Telephone | 256-353-4665
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Fax | 256-353-8982
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Provider Business Mailing Address
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Address Line | 1101 SOMERVILLE RD SE
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City | DECATUR
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State | AL
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Zip | 35601-3242
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Country | US
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Telephone | 256-353-4665
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Fax | 256-353-8982
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. MARTHA BOYLE
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Credential |
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Telephone | 256-353-4665
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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 | 22105
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License Number State | AL
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