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General NPI Number Information
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NPI Number | 1295802197
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Entity Type | Organization
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Legal Business Name | MOUNTAIN RESPIRATORY SERVICE, INC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | 903 FLEMING ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3529
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Country | US
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Telephone | 828-693-3745
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Fax | 828-693-9644
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Provider Business Mailing Address
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Address Line | 903 FLEMING ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3529
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Country | US
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Telephone | 828-693-3745
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Fax | 828-693-9644
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Authorized Official
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Title or Position | SECRETARY TREASURER
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Name | NANCY L JONES
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Credential |
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Telephone | 828-693-3745
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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 | 00104
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License Number State | NC
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