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General NPI Number Information
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NPI Number | 1437299617
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Entity Type | Organization
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Legal Business Name | COLUMBUS PULMONARY ASSOCIATES, INC.
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 85 MCNAUGHTEN RD STE 130
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City | COLUMBUS
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State | OH
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Zip | 43213-5111
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Country | US
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Telephone | 614-577-8322
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Fax | 614-577-8302
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Provider Business Mailing Address
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Address Line | 85 MCNAUGHTEN RD STE 130
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City | COLUMBUS
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State | OH
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Zip | 43213-5111
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Country | US
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Telephone | 614-577-8322
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Fax | 614-577-8302
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. PEGGY JO LEATHERWOOD
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Credential |
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Telephone | 614-577-8302
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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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