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General NPI Number Information
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NPI Number | 1689843971
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Entity Type | Organization
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Legal Business Name | PULMONARY AND CRITICAL CARE ASSOCIATES OF SOUTHERN MARYLAND LLC
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 6 POST OFFICE RD SUITE 101
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City | WALDORF
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State | MD
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Zip | 20602-2746
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Country | US
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Telephone | 301-751-5351
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Fax |
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Provider Business Mailing Address
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Address Line | 6 POST OFFICE RD SUITE 101
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City | WALDORF
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State | MD
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Zip | 20602-2746
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Country | US
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Telephone | 301-751-5351
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ABBAS ALI OMAIS
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Credential | MD
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Telephone | 301-751-5351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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