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General NPI Number Information
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NPI Number | 1760601389
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Entity Type | Organization
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Legal Business Name | PULMONARY SPECIALISTS OF NORTHWEST INDIANA, PC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 09/02/2010
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Provider Practice Location Address
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Address Line | 7875 GRAND BLVD
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City | HOBART
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State | IN
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Zip | 46342-6665
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Country | US
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Telephone | 219-942-9658
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Fax | 219-947-1996
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Provider Business Mailing Address
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Address Line | 7875 GRAND BLVD
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City | HOBART
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State | IN
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Zip | 46342-6665
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Country | US
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Telephone | 219-942-9658
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Fax | 219-947-1996
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KATHY FRANK
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Credential |
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Telephone | 219-942-9658
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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 |
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License Number State |
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