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General NPI Number Information
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NPI Number | 1548324551
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Entity Type | Organization
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Legal Business Name | PULMONARY DISEASES CARE, P.A.
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 1866 RAOUL WALLENBERG BLVD SUITE B
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City | CHARLESTON
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State | SC
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Zip | 29407-3545
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Country | US
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Telephone | 843-766-6646
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Fax | 843-766-6640
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Provider Business Mailing Address
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Address Line | PO BOX 80054
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City | CHARLESTON
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State | SC
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Zip | 29416-0054
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Country | US
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Telephone | 843-766-6646
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Fax | 843-766-6640
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL K. GAME
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Credential | MD
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Telephone | 843-766-6646
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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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