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General NPI Number Information
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NPI Number | 1477939387
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Entity Type | Organization
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Legal Business Name | GENESIS RESPIRATORY SERVICES INC
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 832 WINCHESTER AVE
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City | ASHLAND
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State | KY
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Zip | 41101-7445
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Country | US
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Telephone | 740-456-4363
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Fax | 740-456-1938
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Provider Business Mailing Address
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Address Line | 832 WINCHESTER AVE
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City | ASHLAND
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State | KY
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Zip | 41101-7445
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Country | US
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Telephone | 740-456-4363
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Fax | 740-456-1938
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | LAWRENCE CONN
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Credential |
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Telephone | 740-456-4363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | MG0900
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | HME00941
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License Number State | KY
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