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General NPI Number Information
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NPI Number | 1306027198
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Entity Type | Organization
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Legal Business Name | BAY AREA PULMONARY PA
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 1609 PASADENA AVE S SUITE 2J
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City | SOUTH PASADENA
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State | FL
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Zip | 33707-4565
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Country | US
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Telephone | 727-344-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 1609 PASADENA AVE S SUITE 2J
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City | SOUTH PASADENA
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State | FL
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Zip | 33707-4565
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Country | US
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Telephone | 727-344-1700
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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. JOHN M HARVEY JR.
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Credential | M.D.
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Telephone | 727-344-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0041863
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License Number State | FL
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