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General NPI Number Information
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NPI Number | 1407880719
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Entity Type | Organization
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Legal Business Name | PULMONARY MEDICINE ASSOCIATES MEDICAL GROUP, INC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 1300 ETHAN WAY SUITE 600
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City | SACRAMENTO
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State | CA
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Zip | 95825-2211
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Country | US
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Telephone | 916-482-7623
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Fax | 916-679-3563
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Provider Business Mailing Address
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Address Line | 1300 ETHAN WAY SUITE 600
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City | SACRAMENTO
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State | CA
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Zip | 95825-2211
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Country | US
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Telephone | 916-482-7623
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Fax | 916-679-3563
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Authorized Official
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Title or Position | CPC, BUSINESS SERVICES MANAGER
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Name | STEPHANIE EFSTRATIS
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Credential |
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Telephone | 916-679-3524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) 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 | 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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Taxonomy #3
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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 #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 | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #7
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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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