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General NPI Number Information
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NPI Number | 1316063100
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Entity Type | Organization
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Legal Business Name | BREATHTRAC INC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/02/2007
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Provider Practice Location Address
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Address Line | 131 MCCALLA RD
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City | BESSEMER
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State | AL
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Zip | 35022-5329
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Country | US
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Telephone | 205-425-9070
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Fax | 256-775-1862
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Provider Business Mailing Address
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Address Line | 131 MCCALLA RD
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City | BESSEMER
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State | AL
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Zip | 35022-5329
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Country | US
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Telephone | 205-425-9070
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Fax | 256-775-1862
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Authorized Official
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Title or Position | OWNER MANAGER
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Name | MRS. DELANCY H GARDNER
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Credential | RPFT
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Telephone | 205-369-2169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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