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General NPI Number Information
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NPI Number | 1093660151
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Entity Type | Individual
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Provider Name | JOHN GREGORY POWELL RRT
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Gender | Male
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 12920 SUMMERFIELD CROSSING BLVD
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City | RIVERVIEW
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State | FL
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Zip | 33579-7210
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Country | US
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Telephone | 813-998-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 423 158TH ST E
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City | BRADENTON
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State | FL
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Zip | 34212-8175
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Country | US
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Telephone | 813-998-8827
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | RT22588
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License Number State | FL
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