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General NPI Number Information
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NPI Number | 1780150755
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Entity Type | Organization
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Legal Business Name | FAB PULMONARY SOLUTIONS PLLC
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 3500 GASTON AVE 4TH FLOOR JONSSON BLDG
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City | DALLAS
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State | TX
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Zip | 75246-2017
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Country | US
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Telephone | 214-957-1067
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Fax | 214-614-9184
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Provider Business Mailing Address
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Address Line | 5622 MCCOMMAS BLVD
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City | DALLAS
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State | TX
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Zip | 75206-5636
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Country | US
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Telephone | 214-300-8599
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Fax | 214-614-9184
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANK BRANCACCIO
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Credential | MD
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Telephone | 214-957-1067
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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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