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General NPI Number Information
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NPI Number | 1245275361
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PULMONARY CARE INC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 401 HAMBURG TPKE SUITE 108
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City | WAYNE
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State | NJ
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Zip | 07470-2154
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Country | US
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Telephone | 973-904-9553
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Fax |
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Provider Business Mailing Address
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Address Line | 401 HAMBURG TPKE SUITE 108
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City | WAYNE
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State | NJ
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Zip | 07470-2154
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Country | US
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Telephone | 973-904-9553
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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. LEONARD JOACHIM
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Credential | MD
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Telephone | 973-904-9553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA47527
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License Number State | NJ
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