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General NPI Number Information
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NPI Number | 1629079900
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Entity Type | Organization
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Legal Business Name | NORTH FLORIDA RESPIRATORY SERVICES
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 19 SHADEVILLE RD
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City | CRAWFORDVILLE
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State | FL
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Zip | 32327-2316
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Country | US
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Telephone | 859-926-7122
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Fax | 850-926-9766
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Provider Business Mailing Address
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Address Line | PO BOX 1635
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City | CRAWFORDVILLE
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State | FL
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Zip | 32326-1635
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Country | US
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Telephone | 859-926-7122
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Fax | 850-926-9766
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Authorized Official
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Title or Position | OWNER
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Name | MRS. VICKIE DIANNE BROWN
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Credential | CRT
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Telephone | 850-926-7122
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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 | 280
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License Number State | FL
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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 | 01847
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License Number State | FL
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