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General NPI Number Information
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NPI Number | 1164874780
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Entity Type | Organization
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Legal Business Name | RESPIRATORY CARE AND REHABILITATION ASSOCIATES, LLC
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Dates
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Enumeration Date | 07/07/2016
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 2009 S 100 W
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City | VEEDERSBURG
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State | IN
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Zip | 47987-8150
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Country | US
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Telephone | 765-585-0188
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 122
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City | VEEDERSBURG
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State | IN
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Zip | 47987-0122
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Country | US
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Telephone | 765-585-0188
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANE MALTSBERGER
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Credential | CRT, RRT
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Telephone | 843-443-4232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number |
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License Number State | IN
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