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General NPI Number Information
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NPI Number | 1871962787
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Entity Type | Organization
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Legal Business Name | PULMONARY HEALTH CONSULTANTS, LLC
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Dates
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Enumeration Date | 09/21/2015
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 1306 HIGH ST N
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City | MILLVILLE
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State | NJ
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Zip | 08332-2532
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Country | US
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Telephone | 856-875-3630
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Fax | 844-717-1981
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Provider Business Mailing Address
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Address Line | 1306 HIGH ST N
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City | MILLVILLE
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State | NJ
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Zip | 08332-2532
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Country | US
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Telephone | 856-875-3630
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Fax | 844-717-1981
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Authorized Official
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Title or Position | OWNER
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Name | MANUEL SALAS CUNANAN
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Credential |
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Telephone | 856-875-3630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 25MA08707000
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License Number State | NJ
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