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General NPI Number Information
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NPI Number | 1013075696
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Entity Type | Organization
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Legal Business Name | BREATHE-EASY PULMONARY HOME CARE, INC.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 119 E 124TH ST
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City | NEW YORK
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State | NY
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Zip | 10035-1934
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Country | US
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Telephone | 212-996-3575
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1659 GRACIE SQUARE STATION
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City | NEW YORK
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State | NY
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Zip | 10028-0054
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Country | US
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Telephone | 212-860-0520
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PETER J STOKES
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Credential |
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Telephone | 212-860-0520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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