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General NPI Number Information
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NPI Number | 1285322560
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Entity Type | Organization
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Legal Business Name | PREMIER PULMONARY AND CRITICAL CARE PCS
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Dates
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Enumeration Date | 04/25/2023
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 1134 PLUMAS ST
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City | YUBA CITY
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State | CA
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Zip | 95991-3409
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Country | US
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Telephone | 530-205-3991
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Fax | 530-205-3826
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Provider Business Mailing Address
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Address Line | 8130 BROOKHOLLOW CT
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City | LOOMIS
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State | CA
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Zip | 95650-8049
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Country | US
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Telephone | 216-262-1520
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. INDERJEET BRAR
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Credential | MD
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Telephone | 216-262-1520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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