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General NPI Number Information
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NPI Number | 1285458919
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Entity Type | Individual
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Provider Name | LAMAR DESHAWN ATKINS RCP
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Gender | Male
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 4323 N 12TH ST STE 201
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City | PHOENIX
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State | AZ
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Zip | 85014-4527
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Country | US
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Telephone | 602-857-2113
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Fax | 602-364-3809
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Provider Business Mailing Address
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Address Line | 4323 N 12TH ST STE 201
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City | PHOENIX
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State | AZ
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Zip | 85014-4527
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Country | US
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Telephone | 602-857-2113
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Fax | 602-364-3809
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2278E1000X
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Taxonomy Name | Educational Certified Respiratory Therapist
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License Number | 010507
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2278G0305X
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Taxonomy Name | Geriatric Care Certified Respiratory Therapist
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License Number | 010507
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 2278H0200X
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Taxonomy Name | Home Health Certified Respiratory Therapist
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License Number | 010507
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 2278S1500X
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Taxonomy Name | SNF/Subacute Care Certified Respiratory Therapist
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License Number | 010507
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 2278P1004X
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Taxonomy Name | Pulmonary Diagnostics Certified Respiratory Therapist
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License Number | 010507
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 2278P3900X
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Taxonomy Name | Neonatal/Pediatric Certified Respiratory Therapist
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License Number | 010507
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License Number State | AZ
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Taxonomy #7
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Taxonomy Code | 2278G1100X
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Taxonomy Name | General Care Certified Respiratory Therapist
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License Number | 010507
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License Number State | AZ
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