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General NPI Number Information
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NPI Number | 1467872531
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Entity Type | Organization
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Legal Business Name | BREATHE FOR LIFE INC.
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 04/16/2014
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Provider Practice Location Address
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Address Line | 9329 SW 170TH ST
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City | PALMETTO BAY
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State | FL
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Zip | 33157-4439
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Country | US
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Telephone | 786-256-6152
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Fax |
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Provider Business Mailing Address
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Address Line | 9329 SW 170TH ST
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City | PALMETTO BAY
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State | FL
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Zip | 33157-4439
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SANDRA DESVALLONS
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Credential | RRT
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Telephone | 786-256-6152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | RT9752
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License Number State | FL
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