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General NPI Number Information
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NPI Number | 1508061854
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Entity Type | Organization
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Legal Business Name | WEST KENDALL PULMONARY SERVICES, INC.
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 15043 SW 16TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-2370
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Country | US
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Telephone | 786-239-4451
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Fax | 305-489-3393
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Provider Business Mailing Address
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Address Line | 15043 SW 16TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-2370
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Country | US
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Telephone | 786-239-4451
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Fax | 305-489-3393
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | SUZETTE BENET
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Credential | RRT
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Telephone | 786-239-4451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 2279H0200X
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Taxonomy Name | Home Health Registered Respiratory Therapist
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License Number |
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License Number State |
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