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General NPI Number Information
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NPI Number | 1245358621
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Entity Type | Organization
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Legal Business Name | CHILDREN'S PULMONARY & SLEEP SERVICES, P.C
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 12/02/2008
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Provider Practice Location Address
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Address Line | 2103 E PARHAM RD SUITE - 200
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City | RICHMOND
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State | VA
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Zip | 23228-2235
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Country | US
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Telephone | 804-266-7733
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Fax | 804-266-7736
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Provider Business Mailing Address
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Address Line | PO BOX 28596
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City | RICHMOND
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State | VA
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Zip | 23228-8596
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Country | US
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Telephone | 804-266-7733
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Fax | 804-266-7736
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NAIM S. BASHIR
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Credential |
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Telephone | 804-266-7733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080S0012X
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Taxonomy Name | Pediatric Sleep Medicine Physician
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License Number | 0101238511
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | 0101238511
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 0101238511
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License Number State | VA
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