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NPI 1114956117

NPI 1114956117 : FRED R TRUNIK RRT : HAMPTON, VA

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General NPI Number Information
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    NPI Number           |    1114956117
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    Entity Type          |    Individual 
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    Provider Name        |    FRED R TRUNIK RRT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/02/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    244 DOCKSIDE DR APT B 
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    City                 |    HAMPTON
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    State                |    VA
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    Zip                  |    23669-5619
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    Country              |    US
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    Telephone            |    757-722-9961
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    244 DOCKSIDE DR APT B 
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    City                 |    HAMPTON
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    State                |    VA
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    Zip                  |    23669-5619
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    Country              |    US
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    Telephone            |    757-722-9961
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2279C0205X
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    Taxonomy Name        |    Critical Care 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        |    2279E0002X
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    Taxonomy Name        |    Emergency 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        |    2279E1000X
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    Taxonomy Name        |    Educational Registered Respiratory Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    2279G0305X
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    Taxonomy Name        |    Geriatric Care Registered Respiratory Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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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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Taxonomy #7
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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 #8
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    Taxonomy Code        |    2279P1004X
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    Taxonomy Name        |    Pulmonary Diagnostics Registered Respiratory Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    2279P1005X
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    Taxonomy Name        |    Pulmonary Rehabilitation Registered Respiratory Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    2279P3800X
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    Taxonomy Name        |    Palliative/Hospice Registered Respiratory Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    2279P4000X
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    Taxonomy Name        |    Patient Transport Registered Respiratory Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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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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