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General NPI Number Information
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NPI Number | 1164583456
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Entity Type | Organization
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Legal Business Name | SUMMIT HOME RESPIRATORY SERVICES, INC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 1467 RAIL HEAD BLVD
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City | NAPLES
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State | FL
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Zip | 34110-8444
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Country | US
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Telephone | 239-596-5000
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Fax | 239-596-5017
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Provider Business Mailing Address
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Address Line | 1085 BUSINESS LN STE 2
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City | NAPLES
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State | FL
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Zip | 34110-8470
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Country | US
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Telephone | 239-596-5000
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Fax | 239-596-5017
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | NANCY ECKHARDT
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Credential |
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Telephone | 239-596-5007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 111
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License Number State | FL
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