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General NPI Number Information
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NPI Number | 1649417577
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Entity Type | Organization
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Legal Business Name | KIDLUNGS PEDIATRIC PULMONOLOGY, PA
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Dates
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Enumeration Date | 01/14/2009
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 3550 PARKWOOD BLVD BLDG G SUITE 701
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City | FRISCO
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State | TX
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Zip | 75034-1903
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Country | US
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Telephone | 214-618-5437
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Fax | 214-618-8226
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Provider Business Mailing Address
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Address Line | 3550 PARKWOOD BLVD BLDG G SUITE 701
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City | FRISCO
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State | TX
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Zip | 75034-1903
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Country | US
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Telephone | 214-618-5437
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Fax | 214-618-8226
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD M REMBECKI
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Credential | MD, PHD
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Telephone | 214-618-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | J2461
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License Number State | TX
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