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General NPI Number Information
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NPI Number | 1962123562
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Entity Type | Organization
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Legal Business Name | FURIUM PULMONARY & CRITICAL CARE ASSOCIATES, PLLC
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 27901 WOODWARD AVE STE 220
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City | BERKLEY
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State | MI
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Zip | 48072-0918
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Country | US
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Telephone | 316-655-7363
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Fax |
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Provider Business Mailing Address
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Address Line | 24005 NOBLE DR
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City | FARMINGTON HILLS
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State | MI
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Zip | 48336-2737
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Country | US
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Telephone | 316-655-7363
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FURQAN SIDDIQI
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Credential | MD
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Telephone | 316-655-7363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care 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 | 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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