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General NPI Number Information
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NPI Number | 1225394406
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Entity Type | Organization
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Legal Business Name | RESPIRATORY DIAGNOSTICS AND THERAPEUTICS LLC
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 19165 S HIBISCUS ST
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City | WESTON
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State | FL
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Zip | 33332-4416
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Country | US
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Telephone | 619-807-7560
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Fax |
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Provider Business Mailing Address
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Address Line | 4581 WESTON RD #127
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City | WESTON
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State | FL
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Zip | 33331-3141
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Country | US
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Telephone | 619-807-7560
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MRS. DIANA RAHAGHI
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Credential |
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Telephone | 619-807-7560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME87748
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License Number State | FL
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