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General NPI Number Information
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NPI Number | 1336357086
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Entity Type | Organization
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Legal Business Name | PULMONARY & CRITICAL CARE CONSULTANTS OF SOUTH FLORIDA PA
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 06/17/2015
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Provider Practice Location Address
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Address Line | 6134 HOLLYWOOD BLVD
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City | HOLLYWOOD
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State | FL
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Zip | 33024
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Country | US
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Telephone | 954-589-0974
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Fax | 954-589-0975
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Provider Business Mailing Address
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Address Line | PO BOX 1193
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City | HALLANDALE
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State | FL
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Zip | 33008-1193
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Country | US
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Telephone | 954-589-0974
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Fax | 954-589-0975
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAMAL ANJUM
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Credential | MD
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Telephone | 305-332-9977
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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 | ME80940
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License Number State | FL
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