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General NPI Number Information
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NPI Number | 1093761611
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Entity Type | Organization
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Legal Business Name | PULMOCARE RESPIRATORY SERVICES INC
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 25837 BUSINESS CENTER DR STE A
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City | REDLANDS
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State | CA
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Zip | 92374-4514
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Country | US
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Telephone | 909-777-5000
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Fax | 909-777-5005
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Provider Business Mailing Address
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Address Line | PO BOX 990
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City | LOMA LINDA
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State | CA
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Zip | 92354-0990
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Country | US
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Telephone | 909-777-5000
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Fax | 909-777-5005
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Authorized Official
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Title or Position | CEO
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Name | BRUCE ELLIOTT GINGLES
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Credential |
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Telephone | 909-777-5000
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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 | GRT000030
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 100576
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 100576
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 100576
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License Number State | CA
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