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General NPI Number Information
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NPI Number | 1245459353
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Entity Type | Organization
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Legal Business Name | LUNG DISEASE SPECIALISTS
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 439 W WALNUT ST SUITE 201
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City | DANVILLE
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State | KY
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Zip | 40422-1852
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Country | US
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Telephone | 859-236-9203
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Fax | 859-236-6754
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Provider Business Mailing Address
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Address Line | 439 W WALNUT ST SUITE 201
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City | DANVILLE
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State | KY
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Zip | 40422-1852
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Country | US
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Telephone | 859-236-9203
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Fax | 859-236-6754
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WASEEM AHMED
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Credential | MD
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Telephone | 859-236-9203
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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 | 33677
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License Number State | KY
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