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General NPI Number Information
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NPI Number | 1225237100
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Entity Type | Organization
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Legal Business Name | SPRINGFIELD DEVELOPMENT COMPANY
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 5528 HAINES RD N
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City | ST PETERSBURG
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State | FL
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Zip | 33714-0000
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Country | US
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Telephone | 727-321-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 5528 HAINES RD N
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City | ST PETERSBURG
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State | FL
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Zip | 33714-0000
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Country | US
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Telephone | 727-321-6800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN C GARCIA
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Credential |
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Telephone | 727-321-6800
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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 | 326578
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License Number State | FL
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