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General NPI Number Information
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NPI Number | 1487088183
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Entity Type | Organization
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Legal Business Name | PULMOCARE RESPIRATORY SERVICES, INC.
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 6712 PRESTON AVE SUITE B
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City | LIVERMORE
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State | CA
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Zip | 94551-5144
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Country | US
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Telephone | 925-371-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 760 VIA LATA SUITE 100
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City | COLTON
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State | CA
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Zip | 92324-3977
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Country | US
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Telephone | 888-785-6622
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. BRUCE E GINGLES
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Credential |
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Telephone | 888-785-6622
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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 |
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License Number State |
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