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General NPI Number Information
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NPI Number | 1154753259
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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 | 07/31/2013
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Last Update Date | 07/31/2013
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Provider Practice Location Address
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Address Line | 760 VIA LATA SUITE 100
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City | COLTON
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State | CA
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Zip | 92324-3977
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Country | US
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Telephone | 888-785-6622
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Fax |
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Provider Business Mailing Address
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Address Line | 3538 N ROMERO RD SUITE 160
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City | TUCSON
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State | AZ
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Zip | 85705-5275
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Country | US
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Telephone | 888-785-6622
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. BRUCE ELLIOTT GINGLES
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Credential |
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Telephone | 888-785-6622
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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 | CA
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