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General NPI Number Information
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NPI Number | 1831386853
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Entity Type | Organization
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Legal Business Name | ASSOCIATES OF PULMONARY AND CRITICAL CARE MEDICINE PA
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 60 W COLUMBIA ST SUITE F
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City | ORLANDO
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State | FL
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Zip | 32806-1126
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Country | US
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Telephone | 407-841-1290
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Fax | 407-423-4406
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Provider Business Mailing Address
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Address Line | 60 W COLUMBIA ST SUITE F
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City | ORLANDO
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State | FL
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Zip | 32806-1126
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Country | US
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Telephone | 407-841-1290
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Fax | 407-423-4406
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARLENE FABIAN
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Credential |
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Telephone | 407-841-1290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0031947
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License Number State | FL
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