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General NPI Number Information
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NPI Number | 1699927079
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Entity Type | Organization
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Legal Business Name | ADVANCED PULMONARY AND CRITICAL CARE MEDICINE PA
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Dates
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Enumeration Date | 10/16/2008
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Last Update Date | 08/11/2009
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Provider Practice Location Address
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Address Line | 120 CARNIE BLVD SUITE 3
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City | VOORHEES
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State | NJ
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Zip | 08043-4520
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Country | US
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Telephone | 856-325-4360
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Fax |
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Provider Business Mailing Address
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Address Line | 120 CARNIE BLVD SUITE 3
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City | VOORHEES
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State | NJ
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Zip | 08043-4520
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Country | US
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Telephone | 856-325-4360
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. YOLANDA YOUNG
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Credential |
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Telephone | 856-325-4360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA70224
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License Number State | NJ
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