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General NPI Number Information
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NPI Number | 1578609327
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Entity Type | Organization
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Legal Business Name | DIAMOND RESPIRATORY CARE INC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 10/21/2010
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Provider Practice Location Address
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Address Line | 1403 PALMYRITA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92507-1600
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Country | US
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Telephone | 951-686-0418
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Fax | 951-686-9568
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Provider Business Mailing Address
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Address Line | 1403 PALMYRITA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92507-1600
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Country | US
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Telephone | 951-686-0418
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Fax | 951-686-9568
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRIS M RICE
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Credential |
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Telephone | 951-686-0418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | PHY43587
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License Number State | CA
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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 | 44608
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License Number State | CA
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