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General NPI Number Information
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NPI Number | 1659450054
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Entity Type | Organization
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Legal Business Name | CHEST AND CRITICAL CARE CONSULTANTS
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Dates
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Enumeration Date | 11/04/2006
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Last Update Date | 05/10/2016
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Provider Practice Location Address
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Address Line | 13522 NEWPORT AVE SUITE 102
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City | TUSTIN
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State | CA
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Zip | 92780-3707
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Country | US
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Telephone | 714-491-1159
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Fax | 714-491-8931
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Provider Business Mailing Address
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Address Line | 13522 NEWPORT AVE SUITE 19
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City | TUSTIN
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State | CA
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Zip | 92780-3707
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Country | US
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Telephone | 714-491-1159
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Fax | 714-491-8931
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Authorized Official
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Title or Position | SENIOR MANAGING PARTNER
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Name | DR. HARMOHINDER S GOGIA
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Credential | M.D.
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Telephone | 714-772-8282
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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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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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