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General NPI Number Information
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NPI Number | 1376760421
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Entity Type | Organization
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Legal Business Name | PULMONARY PERFORMANCE EDUCATION AND TESTING LLC
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 21 SILVER FOX TRL
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City | ORMOND BEACH
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State | FL
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Zip | 32174-8421
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Country | US
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Telephone | 386-673-3019
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Fax | 386-673-7501
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Provider Business Mailing Address
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Address Line | 21 SILVER FOX TRL
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City | ORMOND BEACH
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State | FL
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Zip | 32174-8421
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Country | US
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Telephone | 386-673-3019
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Fax | 386-673-7501
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Authorized Official
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Title or Position | DIRECTOR
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Name | CELESTE C BELYEA
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Credential | RRT, RN, AE-C
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Telephone | 386-673-3019
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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 2580
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License Number State | FL
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