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General NPI Number Information
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NPI Number | 1699007260
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Entity Type | Organization
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Legal Business Name | PULMONARY RESPIRATORY EXPERT PHYSICIANS, PLLC
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Dates
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Enumeration Date | 02/08/2010
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Last Update Date | 02/08/2010
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Provider Practice Location Address
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Address Line | 7068 WING POINT RD NE
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110-2987
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Country | US
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Telephone | 206-842-2379
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Fax | 206-842-2379
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Provider Business Mailing Address
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Address Line | 7068 WING POINT RD NE
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110-2987
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Country | US
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Telephone | 206-842-2379
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Fax | 206-842-2379
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Authorized Official
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Title or Position | MEMBER
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Name | WILLIAM BOYAN
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Credential | MD
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Telephone | 206-842-2379
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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 | MD00044635
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License Number State | WA
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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 | MD00044635
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License Number State | WA
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