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General NPI Number Information
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NPI Number | 1710016316
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Entity Type | Organization
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Legal Business Name | PULMONARY & PRIMARY CARE ASSOCIATES OF PLYMOUTH, PC
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 116 COURT ST
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City | PLYMOUTH
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State | MA
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Zip | 02360-3808
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Country | US
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Telephone | 508-747-1318
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Fax | 508-747-1410
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Provider Business Mailing Address
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Address Line | 116 COURT ST
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City | PLYMOUTH
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State | MA
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Zip | 02360-3808
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Country | US
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Telephone | 508-747-1318
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Fax | 508-747-1410
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT NAHILL
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Credential | M.D.
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Telephone | 508-747-1318
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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