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General NPI Number Information
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NPI Number | 1457488124
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Entity Type | Organization
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Legal Business Name | RELIABLE RESPIRATORY CARE, INC.
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 992 N.E. 167 STREET
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-3704
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Country | US
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Telephone | 305-947-0508
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 820240
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City | PEMBROKE PINES
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State | FL
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Zip | 33082-0240
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Country | US
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Telephone | 305-947-0508
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIE COLINS
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Credential |
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Telephone | 305-947-0508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1312546
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License Number State | FL
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