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General NPI Number Information
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NPI Number | 1871278440
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA PULMONARY PARTNERS LLC
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 1 W SAMPLE RD STE 305
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City | DEERFIELD BCH
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State | FL
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Zip | 33064-3547
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Country | US
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Telephone | 954-304-6614
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Fax |
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Provider Business Mailing Address
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Address Line | 9996 ESPRESSO MNR
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City | BOCA RATON
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State | FL
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Zip | 33496-3281
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Country | US
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Telephone | 954-304-6614
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Fax |
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Authorized Official
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Title or Position | MD
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Name | NEENA CHANDRASEKARAN
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Credential | MD
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Telephone | 954-304-6614
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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 |
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License Number State |
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