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General NPI Number Information
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NPI Number | 1386432672
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Entity Type | Organization
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Legal Business Name | BLOOM RESPIRATORY THERAPY NY PLLC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 43 W 47TH ST STE 203
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City | NEW YORK
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State | NY
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Zip | 10036-2804
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Country | US
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Telephone | 201-474-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 8 CAMPUS DR STE 105
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City | PARSIPPANY
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State | NJ
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Zip | 07054-4409
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Country | US
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Telephone | 551-293-6969
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. GABRIEL SALAS
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Credential |
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Telephone | 201-474-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SC2300X
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Taxonomy Name | Chronic Care Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WC3500X
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Taxonomy Name | Cardiac Rehabilitation Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WR0400X
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Taxonomy Name | Rehabilitation Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2279E1000X
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Taxonomy Name | Educational Registered Respiratory Therapist
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License Number |
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License Number State |
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