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General NPI Number Information
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NPI Number | 1922288315
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Entity Type | Organization
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Legal Business Name | ORLANDO PULMONARY AND CRITICAL CARE ASSOCIATES INC
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 01/13/2012
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Provider Practice Location Address
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Address Line | 930 S ORANGE AVE
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City | ORLANDO
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State | FL
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Zip | 32806-1203
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Country | US
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Telephone | 407-425-3362
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Fax | 407-425-8824
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Provider Business Mailing Address
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Address Line | 930 S ORANGE AVE
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City | ORLANDO
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State | FL
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Zip | 32806-1203
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Country | US
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Telephone | 407-425-3362
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Fax | 407-425-8824
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Authorized Official
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Title or Position | OWNER
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Name | DR. GANESH K AKULA
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Credential | M.D
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Telephone | 407-425-3362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2278C0205X
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Taxonomy Name | Critical Care Certified Respiratory Therapist
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License Number | 60461
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License Number State | FL
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