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General NPI Number Information
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NPI Number | 1831061522
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Entity Type | Organization
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Legal Business Name | GWINNETT PULMONARY & SLEEP, P.C.
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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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 | 770-995-1555
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Provider Business Mailing 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 | 770-995-1555
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | JENNIFER THOMAS-ROLOFF
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Credential |
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Telephone | 678-942-5985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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