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General NPI Number Information
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NPI Number | 1609758556
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Entity Type | Organization
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Legal Business Name | COLUMBIA RESPIRATORY CARE LLC
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 2115 S 56TH ST STE 318
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City | TACOMA
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State | WA
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Zip | 98409-6900
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Country | US
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Telephone | 253-533-2484
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Fax |
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Provider Business Mailing Address
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Address Line | 29222 RANCHO VIEJO RD STE 127
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-1049
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Country | US
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Telephone | 469-636-5055
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | TANGINA MALOOF
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Credential |
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Telephone | 469-636-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 |
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License Number State |
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