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General NPI Number Information
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NPI Number | 1477630838
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Entity Type | Organization
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Legal Business Name | CARDIO RESPIRATORY HOME CARE INC.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 12/30/2011
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Provider Practice Location Address
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Address Line | 4721 TAFT PARK
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City | METAIRIE
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State | LA
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Zip | 70002-1438
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Country | US
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Telephone | 504-455-5512
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Fax | 504-455-2084
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Provider Business Mailing Address
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Address Line | 4721 TAFT PARK
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City | METAIRIE
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State | LA
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Zip | 70002-1438
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Country | US
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Telephone | 504-455-5512
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Fax | 504-455-2084
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ELLIOTT RAISEN
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Credential |
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Telephone | 504-455-5512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 442334
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License Number State | LA
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