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General NPI Number Information
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NPI Number | 1770711632
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Entity Type | Organization
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Legal Business Name | STEUBENVILLE PULMONARY ASSOCIATES INC
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 06/30/2009
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Provider Practice Location Address
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Address Line | 4100 JOHNSON RD SUITE 208
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2356
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Country | US
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Telephone | 740-264-7800
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Fax | 740-264-2334
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Provider Business Mailing Address
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Address Line | PO BOX 2605
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City | WINTERSVILLE
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State | OH
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Zip | 43953-0605
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Country | US
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Telephone | 740-264-7800
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Fax | 740-264-2334
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. EDGAR H SANCHEZ
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Credential | MD
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Telephone | 740-264-7800
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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 | 35065142
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License Number State | OH
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