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General NPI Number Information
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NPI Number | 1942301197
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Entity Type | Organization
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Legal Business Name | PULMONARY STUDIES INC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 6325 PRESIDENTIAL CT SUITE 2
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City | FORT MYERS
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State | FL
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Zip | 33919-3515
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Country | US
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Telephone | 239-437-6500
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Fax | 239-437-9760
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Provider Business Mailing Address
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Address Line | 6325 PRESIDENTIAL CT SUITE 2
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City | FORT MYERS
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State | FL
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Zip | 33919-3515
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Country | US
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Telephone | 239-437-6500
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Fax | 239-437-9760
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Authorized Official
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Title or Position | CEO
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Name | STANLEY A PERCH JR.
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Credential | RRT
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Telephone | 239-437-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 800001932
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License Number State | FL
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