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General NPI Number Information
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NPI Number | 1548781990
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Entity Type | Organization
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Legal Business Name | A PLUS PULMONARY CENTER PC
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 13352 N 83RD AVE STE A100
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City | PEORIA
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State | AZ
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Zip | 85381-4158
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Country | US
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Telephone | 623-977-8871
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Fax | 623-977-4826
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Provider Business Mailing Address
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Address Line | 13352 N 83RD AVE STE A100
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City | PEORIA
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State | AZ
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Zip | 85381-4158
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Country | US
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Telephone | 623-977-8871
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Fax | 623-977-4826
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | AVTAR S BASSIN
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Credential | MD
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Telephone | 623-977-8871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 23833
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License Number State | AZ
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