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General NPI Number Information
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NPI Number | 1659419216
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Entity Type | Organization
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Legal Business Name | PULMONARY CONSULTANTS, INC
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 11133 DUNN RD SUITE 2335
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6119
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Country | US
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Telephone | 314-653-5007
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Fax | 314-653-4149
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Provider Business Mailing Address
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Address Line | 11133 DUNN RD STE 2335
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6165
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Country | US
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Telephone | 314-653-5007
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Fax | 314-653-4149
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MYRON H JACOBS
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Credential | M.D.
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Telephone | 314-653-5007
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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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