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General NPI Number Information
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NPI Number | 1639918576
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Entity Type | Organization
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Legal Business Name | CRITICAL CARE PULMONARY AND SLEEP MEDICINE CONSULTANTS
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 8210 SOUTHPARK TER
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City | LITTLETON
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State | CO
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Zip | 80120-5614
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Country | US
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Telephone | 303-345-8291
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Fax |
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Provider Business Mailing Address
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Address Line | 8210 SOUTHPARK TER
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City | LITTLETON
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State | CO
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Zip | 80120-5614
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Country | US
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Telephone | 303-345-8291
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSHUA PORTNOY
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Credential |
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Telephone | 303-345-8291
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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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