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General NPI Number Information
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NPI Number | 1841487097
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Entity Type | Organization
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Legal Business Name | LUNG & SLEEP MEDICINE, INC.
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 01/06/2010
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Provider Practice Location Address
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Address Line | 13975 MANCHESTER RD SUITE 7
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City | MANCHESTER
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State | MO
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Zip | 63011-4500
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Country | US
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Telephone | 314-821-1222
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Fax | 314-754-9889
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Provider Business Mailing Address
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Address Line | PO BOX 66971
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City | SAINT LOUIS
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State | MO
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Zip | 63166-6971
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Country | US
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Telephone | 314-821-1222
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Fax | 314-754-9889
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | ANTHONY M MASI
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Credential | M.D.
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Telephone | 314-821-1222
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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 | R3P21
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License Number State | MO
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