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General NPI Number Information
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NPI Number | 1619401254
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Entity Type | Organization
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Legal Business Name | PRO BREATHE RESPIRATORY CARE SOLUTIONS
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 1600 STARR DR STE A
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City | YUBA CITY
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State | CA
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Zip | 95993-2628
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Country | US
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Telephone | 530-301-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 3350 MAJESTIC CT
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City | ROCKLIN
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State | CA
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Zip | 95765-4856
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JATINDER THIARA
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Credential | RCP
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Telephone | 530-301-7400
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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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