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General NPI Number Information
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NPI Number | 1720184716
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Entity Type | Organization
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Legal Business Name | EAST BAY PULMONARY MEDICAL GROUP
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 12/05/2008
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Provider Practice Location Address
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Address Line | 2070 CLINTON AVE
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City | ALAMEDA
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State | CA
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Zip | 94501-4320
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Country | US
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Telephone | 510-814-4089
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Fax | 510-521-4187
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Provider Business Mailing Address
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Address Line | 2070 CLINTON AVE
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City | ALAMEDA
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State | CA
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Zip | 94501-4320
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Country | US
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Telephone | 510-814-4089
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Fax | 510-521-4187
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. WILLIAM S LOWERY
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Credential | M.D.
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Telephone | 510-814-4089
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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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