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General NPI Number Information
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NPI Number | 1255186250
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Entity Type | Organization
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Legal Business Name | OVUNC PEDIATRIC PULMONOLOGY MEDICINE CORP
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 23600 TELO AVE STE 130
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City | TORRANCE
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State | CA
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Zip | 90505-4036
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Country | US
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Telephone | 310-833-1334
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Fax | 310-833-0270
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Provider Business Mailing Address
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Address Line | 5050 E 2ND ST # 41753
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City | LONG BEACH
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State | CA
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Zip | 90803-5361
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Country | US
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Telephone | 734-355-8762
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BUGSU OVUNC
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Credential | MD
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Telephone | 310-833-1334
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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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