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General NPI Number Information
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NPI Number | 1225024847
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Entity Type | Organization
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Legal Business Name | BREATHING DISORDERS SERVICES
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | 1124 N CHURCH ST SUITE 500
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City | GREENSBORO
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State | NC
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Zip | 27401-6106
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Country | US
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Telephone | 336-574-3738
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Fax | 336-574-3740
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Provider Business Mailing Address
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Address Line | PO BOX 269035
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126-9035
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Country | US
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Telephone | 405-635-0004
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING
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Name | ELLA TRUITT
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Credential |
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Telephone | 405-635-0004
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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 | 01258
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License Number State | NC
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