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General NPI Number Information
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NPI Number | 1093678286
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Entity Type | Organization
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Legal Business Name | MID-SOUTH RESPIRATORY CARE SERVICES, LLC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 765 BERT JOHNSTON AVE
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City | COVINGTON
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State | TN
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Zip | 38019-2414
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Country | US
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Telephone | 901-475-0027
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Fax |
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Provider Business Mailing Address
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Address Line | 6284 DAWN HAVEN DR
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City | MILLINGTON
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State | TN
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Zip | 38053-3621
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Country | US
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Telephone | 901-672-4780
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Fax |
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Authorized Official
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Title or Position | RRT/OWNER
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Name | KARIA NELSON
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Credential | RRT
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Telephone | 901-672-4780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2279H0200X
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Taxonomy Name | Home Health Registered Respiratory Therapist
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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 | 2279P3900X
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Taxonomy Name | Neonatal/Pediatric Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2279S1500X
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Taxonomy Name | SNF/Subacute Care Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2279G1100X
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Taxonomy Name | General Care Registered Respiratory Therapist
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License Number |
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License Number State |
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