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General NPI Number Information
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NPI Number | 1326353046
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Entity Type | Individual
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Provider Name | SHIRLEY MARIE BOUNDS RRT
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Gender | Female
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Dates
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Enumeration Date | 08/18/2010
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Last Update Date | 08/18/2010
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Provider Practice Location Address
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Address Line | 2900 CHARLEVOIX DR SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-7085
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Country | US
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Telephone | 800-634-9581
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Fax |
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Provider Business Mailing Address
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Address Line | 125 ROUGE STREET PO BOX 626
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City | WINSTON
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State | OR
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Zip | 97496
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Country | US
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Telephone | 541-285-4595
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Fax |
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | RT-P-001297
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | 00029024
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | 008806
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | RT 10018
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | LR 00003229
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | 30007580A
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License Number State | IN
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Taxonomy #7
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | 122-0000441
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License Number State | VT
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