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General NPI Number Information
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NPI Number | 1740478148
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Entity Type | Organization
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Legal Business Name | PULMONARY CLINIC OF NORTHWEST
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Dates
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Enumeration Date | 10/10/2007
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Last Update Date | 02/25/2011
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Provider Practice Location Address
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Address Line | 11720 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77065-3514
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Country | US
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Telephone | 281-955-1012
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Fax | 281-955-1302
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Provider Business Mailing Address
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Address Line | 11720 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77065-3514
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Country | US
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Telephone | 281-955-1012
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Fax | 281-955-1302
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. KIMAT R. SINGLA
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Credential |
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Telephone | 281-955-1012
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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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