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General NPI Number Information
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NPI Number | 1326152984
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Entity Type | Organization
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Legal Business Name | TERRE HAUTE PULMONARY & PEDIATRIC CLINIC, LLC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 09/29/2016
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Provider Practice Location Address
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Address Line | 4525 S SPRINGHILL JCT
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City | TERRE HAUTE
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State | IN
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Zip | 47802-4563
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Country | US
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Telephone | 812-234-6053
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Fax | 812-478-3416
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Provider Business Mailing Address
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Address Line | 4525 S SPRINGHILL JCT
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City | TERRE HAUTE
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State | IN
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Zip | 47802-4563
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Country | US
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Telephone | 812-234-6053
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Fax | 812-478-3416
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Authorized Official
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Title or Position | OWNER
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Name | ANAND D BHUPTANI
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Credential | MD
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Telephone | 812-234-6053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease 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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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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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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