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General NPI Number Information
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NPI Number | 1326069469
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Entity Type | Organization
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Legal Business Name | LUNG AND ASTHMA CLINIC OF SAINT JOSEPH, PC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 09/21/2007
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Provider Practice Location Address
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Address Line | 1502 N 36TH ST SUITE B
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-2306
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Country | US
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Telephone | 816-390-8300
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Fax | 816-390-8047
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Provider Business Mailing Address
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Address Line | 1502 N 36TH ST SUITE B
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-2306
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Country | US
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Telephone | 816-390-8300
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Fax | 816-390-8047
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HEMANT K SHETH
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Credential | M.D., F.C.C.P.
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Telephone | 816-390-8300
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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 | MDR2P06
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License Number State | MO
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