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General NPI Number Information
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NPI Number | 1467798272
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE PULMONARY ASSOCIATES PA.
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Dates
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Enumeration Date | 12/26/2012
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Last Update Date | 06/11/2013
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Provider Practice Location Address
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Address Line | 7003 S NEW BRAUNFELS AVE STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78223-4588
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Country | US
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Telephone | 210-209-8666
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Fax | 210-209-8668
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Provider Business Mailing Address
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Address Line | 7003 S NEW BRAUNFELS AVE STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78223-4588
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Country | US
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Telephone | 210-209-8666
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Fax | 210-209-8668
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Authorized Official
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Title or Position | PRESIDENT46084
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Name | HALIM HANNA
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Credential | MD
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Telephone | 210-865-2404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | N8301
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | N8301
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | N8301
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License Number State | TX
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