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General NPI Number Information
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NPI Number | 1902848559
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Entity Type | Organization
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Legal Business Name | TOTAL LUNG CARE
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 740 E STATE ST
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City | SHARON
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State | PA
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Zip | 16146-3328
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Country | US
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Telephone | 724-983-1980
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Fax | 724-983-1295
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Provider Business Mailing Address
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Address Line | 740 E STATE ST
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City | SHARON
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State | PA
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Zip | 16146-3328
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Country | US
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Telephone | 724-983-1980
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Fax | 724-983-1295
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JEFFREY CARL LAZAR
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Credential | M.D.
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Telephone | 724-983-1980
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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 | MD040131L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD071848L
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License Number State | PA
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