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General NPI Number Information
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NPI Number | 1457431678
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Entity Type | Organization
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Legal Business Name | NORTHERN PULMONARY MEDICAL ASSOCIATES, PC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 5806 FRANCIS LEWIS BLVD 1ST FL
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-1637
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Country | US
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Telephone | 718-224-8900
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Fax | 718-224-5184
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Provider Business Mailing Address
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Address Line | 5806 FRANCIS LEWIS BLVD 1ST FL
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-1637
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Country | US
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Telephone | 718-224-8900
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Fax | 718-224-6867
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | PAULA SCOLARO
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Credential |
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Telephone | 718-224-8900
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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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