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General NPI Number Information
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NPI Number | 1689817405
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Entity Type | Organization
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Legal Business Name | BAPTIST PULMONARY SPECIALISTS INC
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Dates
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Enumeration Date | 04/09/2009
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 1660 PRUDENTIAL DR STE 320
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8197
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Country | US
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Telephone | 904-376-3707
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Fax | 904-391-5001
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Provider Business Mailing Address
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Address Line | PO BOX 2462
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City | SALT LAKE CITY
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State | UT
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Zip | 84110-2462
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Country | US
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Telephone | 904-202-1032
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Fax | 904-376-4107
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Authorized Official
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Title or Position | DIRECTOR
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Name | CATHERINE HOLLOWAY
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Credential |
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Telephone | 904-202-5378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) 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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (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 | 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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