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General NPI Number Information
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NPI Number | 1356394381
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Entity Type | Organization
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Legal Business Name | RESPIRATORY DIAGNOSTICS LLC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 168 COLUMBIA CLUB DR W
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City | BLYTHEWOOD
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State | SC
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Zip | 29016-9458
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Country | US
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Telephone | 803-786-1588
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Fax | 888-817-0201
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Provider Business Mailing Address
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Address Line | 168 COLUMBIA CLUB DR W
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City | BLYTHEWOOD
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State | SC
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Zip | 29016-9458
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Country | US
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Telephone | 803-786-1588
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Fax | 888-817-0201
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LINDA GALPHIN
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Credential | RRT RCP
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Telephone | 803-786-1588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number | 42D1050919
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License Number State | SC
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