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General NPI Number Information
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NPI Number | 1255441796
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Entity Type | Organization
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Legal Business Name | RESPIRA MEDICAL, L.P.
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/29/2011
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Provider Practice Location Address
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Address Line | 1502 HOUSTON ST # 100
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City | GRAND PRAIRIE
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State | TX
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Zip | 75050-5206
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Country | US
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Telephone | 817-695-6900
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Fax | 817-695-6901
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Provider Business Mailing Address
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Address Line | 1502 HOUSTON ST # 100
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City | GRAND PRAIRIE
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State | TX
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Zip | 75050-5206
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Country | US
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Telephone | 817-695-6900
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Fax | 817-695-6901
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. BRENDA HORNYAK
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Credential |
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Telephone | 817-695-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 0081452
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0081452
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License Number State | TX
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