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General NPI Number Information
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NPI Number | 1801974175
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Entity Type | Organization
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Legal Business Name | GWINNETT PULMONARY GROUP
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 06/11/2024
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Provider Practice Location Address
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Address Line | 631 PROFESSIONAL DR STE 350
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-3370
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Country | US
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Telephone | 770-995-0630
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Fax | 678-205-2404
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Provider Business Mailing Address
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Address Line | 631 PROFESSIONAL DR SUITE 350
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-7651
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Country | US
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Telephone | 770-995-0630
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Fax | 678-942-5984
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Authorized Official
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Title or Position | PHYSICIAN IN CHARGE/OWNER
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Name | DR. LAWRENCE KAPLAN
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Credential | MD
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Telephone | 770-995-0630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | 326200
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 326200
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 326200
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 326200
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License Number State | GA
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