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General NPI Number Information
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NPI Number | 1366530461
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Entity Type | Organization
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Legal Business Name | PULMONARY AND CRITICAL CARE CONSULTANTS, PLLC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 1200 E MICHIGAN AVE SUITE 415
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City | LANSING
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State | MI
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Zip | 48912-1800
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Country | US
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Telephone | 517-484-2760
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Fax | 517-484-9370
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Provider Business Mailing Address
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Address Line | 1200 E MICHIGAN AVE SUITE 415
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City | LANSING
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State | MI
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Zip | 48912-1800
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Country | US
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Telephone | 517-484-2760
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Fax | 517-484-9370
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. RUTHANNE FINN
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Credential |
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Telephone | 517-484-2760
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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 |
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License Number State |
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