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General NPI Number Information
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NPI Number | 1538439724
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Entity Type | Organization
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Legal Business Name | LUNG DOCTORS FOR CHILDREN, PLLC
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 751 W MAIN ST SUITE 200
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City | LEWISVILLE
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State | TX
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Zip | 75067-3513
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Country | US
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Telephone | 927-219-5864
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Fax | 972-219-5866
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Provider Business Mailing Address
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Address Line | 751 W MAIN ST SUITE 200
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City | LEWISVILLE
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State | TX
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Zip | 75067-3513
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Country | US
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Telephone | 927-219-5864
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Fax | 972-219-5866
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. RICHARD M REMBECKI
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Credential | MD, PHD
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Telephone | 469-878-6185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | J2461
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License Number State | TX
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