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General NPI Number Information
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NPI Number | 1699860346
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Entity Type | Organization
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Legal Business Name | LUNG AND SLEEP SPECIALISTS, PLLC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 01/21/2015
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Provider Practice Location Address
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Address Line | 1850 STATE ST ATTN: SLEEP CLINIC
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City | NEW ALBANY
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State | IN
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Zip | 47150-4990
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Country | US
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Telephone | 812-949-5550
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Fax | 812-949-5748
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Provider Business Mailing Address
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Address Line | PO BOX 950173
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City | LOUISVILLE
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State | KY
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Zip | 40295-0173
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Country | US
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Telephone | 502-213-9036
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Fax | 502-412-9178
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Authorized Official
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Title or Position | OWNER
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Name | AZMI DRAW
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Credential | MD
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Telephone | 502-216-0191
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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 | 36883
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License Number State | KY
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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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