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General NPI Number Information
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NPI Number | 1235665233
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Entity Type | Organization
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Legal Business Name | PULMONARY TESTING SERVICES INC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 31729 PARKDALE DR
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City | LEESBURG
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State | FL
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Zip | 34748-6144
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Country | US
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Telephone | 352-459-9772
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Fax | 352-326-8751
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Provider Business Mailing Address
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Address Line | 31729 PARKDALE DR
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City | LEESBURG
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State | FL
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Zip | 34748-6144
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Country | US
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Telephone | 352-459-9772
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Fax | 352-326-8751
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSUE P AGUILAR SR.
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Credential |
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Telephone | 352-459-9772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2278P1004X
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Taxonomy Name | Pulmonary Diagnostics Certified Respiratory Therapist
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License Number | RT8225
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License Number State | FL
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