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General NPI Number Information
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NPI Number | 1174745483
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Entity Type | Organization
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Legal Business Name | RESPIRATORY CARE PROVIDERS, INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 5575 NW WESLEY CT
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-4232
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Country | US
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Telephone | 305-301-4416
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Fax |
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Provider Business Mailing Address
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Address Line | 5575 NW WESLEY CT
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-4232
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Country | US
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Telephone | 305-301-4416
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ROCHELLE SCAVELLA
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Credential | RRT
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Telephone | 305-301-4416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2279G1100X
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Taxonomy Name | General Care Registered Respiratory Therapist
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License Number | RT2995
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License Number State | FL
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