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General NPI Number Information
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NPI Number | 1245562826
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Entity Type | Organization
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Legal Business Name | CRAZY ABOUT KIDS PULMONARY SERVICES LLC
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 03/23/2011
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Provider Practice Location Address
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Address Line | 4001 E BASELINE RD STE 205
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City | GILBERT
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State | AZ
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Zip | 85234-2726
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Country | US
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Telephone | 480-892-2260
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Fax | 480-892-2274
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Provider Business Mailing Address
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Address Line | PO BOX 9362
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City | BELFAST
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State | ME
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Zip | 04915-9362
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Country | US
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Telephone | 480-892-2260
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Fax | 480-892-2274
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Authorized Official
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Title or Position | MANAGER
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Name | TRACI ARNEY
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Credential | NP
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Telephone | 480-892-2260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number |
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License Number State |
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