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General NPI Number Information
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NPI Number | 1023388709
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Entity Type | Organization
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Legal Business Name | MIDWEST RESPIRATORY CARE INC
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 01/19/2015
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Provider Practice Location Address
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Address Line | 1215 E 17TH ST
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City | FREMONT
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State | NE
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Zip | 68025-3264
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Country | US
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Telephone | 402-948-4700
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Fax | 402-592-6914
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Provider Business Mailing Address
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Address Line | 9931 S 136TH ST STE 100
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City | OMAHA
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State | NE
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Zip | 68138-3937
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Country | US
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Telephone | 402-592-2435
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Fax | 402-592-6914
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD A DELASHMUTT
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Credential |
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Telephone | 402-592-2435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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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 | 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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