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General NPI Number Information
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NPI Number | 1295493914
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Entity Type | Organization
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Legal Business Name | TAMPA BAY RESPIRATORY SERVICES CORP
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Dates
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Enumeration Date | 11/30/2021
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 13911 N DALE MABRY HWY STE 108
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City | TAMPA
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State | FL
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Zip | 33618-2414
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Country | US
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Telephone | 813-964-6395
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Fax |
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Provider Business Mailing Address
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Address Line | 13911 N DALE MABRY HWY STE 108
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City | TAMPA
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State | FL
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Zip | 33618-2414
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Country | US
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Telephone | 813-964-6395
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Fax | 813-964-6551
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Authorized Official
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Title or Position | OWNER
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Name | YOANA FERNANDEZ
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Credential | RRT
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Telephone | 813-964-6395
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2278P1004X
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Taxonomy Name | Pulmonary Diagnostics Certified Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2279P1004X
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Taxonomy Name | Pulmonary Diagnostics Registered Respiratory Therapist
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License Number |
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License Number State |
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