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General NPI Number Information
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NPI Number | 1477646313
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Entity Type | Organization
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Legal Business Name | PULMONARY DIAGNOSTIC & REHABILITATION MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/19/2013
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Provider Practice Location Address
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Address Line | 145 N CALIFORNIA AVE
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City | PALO ALTO
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State | CA
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Zip | 94301-3965
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Country | US
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Telephone | 650-833-7994
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Fax | 650-833-7990
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Provider Business Mailing Address
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Address Line | PO BOX 60249
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City | PALO ALTO
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State | CA
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Zip | 94306-0249
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Country | US
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Telephone | 650-494-1495
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Fax | 650-494-8117
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID P. L. SACHS
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Credential | M.D.
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Telephone | 650-833-7994
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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 | G25547
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License Number State | CA
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