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General NPI Number Information
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NPI Number | 1467566414
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Entity Type | Organization
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Legal Business Name | LEADING RESPIRATORY SERVICES INC.
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 11/30/2010
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Provider Practice Location Address
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Address Line | 111 E 2ND ST
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City | WAVERLY
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State | OH
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Zip | 45690-1303
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Country | US
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Telephone | 740-941-3377
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Fax | 740-941-0619
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Provider Business Mailing Address
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Address Line | 111 E 2ND ST
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City | WAVERLY
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State | OH
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Zip | 45690-1303
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Country | US
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Telephone | 740-941-3377
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Fax | 740-941-0619
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Authorized Official
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Title or Position | CEO PRESIDENT
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Name | PHILLIP WAYNE SANDLIN
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Credential |
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Telephone | 740-259-0199
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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 | 021035750
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 021035750
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 021035750
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License Number State | OH
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