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General NPI Number Information
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NPI Number | 1811042906
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Entity Type | Organization
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Legal Business Name | PREMIERE PULMONARY CONSULTANTS A MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 502 EUCLID AVE SUITE 304
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City | NATIONAL CITY
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State | CA
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Zip | 91950-2931
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Country | US
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Telephone | 619-470-6195
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Fax | 619-470-6199
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Provider Business Mailing Address
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Address Line | 502 EUCLID AVE SUITE 304
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City | NATIONAL CITY
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State | CA
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Zip | 91950-2931
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Country | US
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Telephone | 619-470-6195
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Fax | 619-470-6199
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOTTIE ANN SAZON
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Credential | M.D.
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Telephone | 619-470-6195
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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 | A48932
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License Number State | CA
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Taxonomy #2
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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 | A48932
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License Number State | CA
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