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General NPI Number Information
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NPI Number | 1700907813
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Entity Type | Organization
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Legal Business Name | AMERICAN LUNG ASSOCIATION OF CALIFORNIA
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1900 POWELL ST 800
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City | EMERYVILLE
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State | CA
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Zip | 94608-1811
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Country | US
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Telephone | 510-893-5474
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 POWELL ST 800
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City | EMERYVILLE
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State | CA
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Zip | 94608-1811
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Country | US
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Telephone | 510-893-5474
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Fax |
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Authorized Official
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Title or Position | REGIONAL VICE PRESIDENT
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Name | KAREN FULTON
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Credential |
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Telephone | 510-893-5474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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