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General NPI Number Information
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NPI Number | 1669730354
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Entity Type | Organization
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Legal Business Name | COMMUNITY PULMONARY ASSOCIATES, INC.
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Dates
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Enumeration Date | 05/01/2012
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Last Update Date | 04/21/2020
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Provider Practice Location Address
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Address Line | 1243 E SPRUCE AVE STE 104
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City | FRESNO
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State | CA
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Zip | 93720-3379
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Country | US
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Telephone | 559-326-7659
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Fax | 559-326-7498
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Provider Business Mailing Address
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Address Line | 1243 E SPRUCE AVE STE 104
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City | FRESNO
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State | CA
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Zip | 93720-3379
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Country | US
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Telephone | 559-326-7659
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Fax | 559-326-7498
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Authorized Official
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Title or Position | CEO/MD
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Name | DR. CHITRA KANDASWAMY
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Credential | M.D., M.P.H.
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Telephone | 559-326-7659
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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 | CA
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