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General NPI Number Information
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NPI Number | 1578736476
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Entity Type | Organization
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Legal Business Name | PULMONARY ASSOCIATES INC
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 07/01/2010
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Provider Practice Location Address
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Address Line | 96 WEST MAIN STREET
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City | ROMNEY
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State | WV
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Zip | 26757-0000
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Country | US
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Telephone | 304-822-8611
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Fax | 304-822-8060
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Provider Business Mailing Address
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Address Line | 96 WEST MAIN STREET
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City | ROMNEY
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State | WV
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Zip | 26757-0000
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Country | US
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Telephone | 304-822-5417
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Fax | 304-822-5236
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Authorized Official
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Title or Position | OWNER
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Name | MR. RONALD W COMBS
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Credential | RT
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Telephone | 304-257-3744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 012590
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License Number State | WV
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