=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629157201
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DOYLE RESPIRATORY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/03/2006
-----------------------------------------------------
Last Update Date | 02/06/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 172 ARMISTICE BLVD
-----------------------------------------------------
City | PAWTUCKET
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02860-3219
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-725-1100
-----------------------------------------------------
Fax | 401-725-1120
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 172 ARMISTICE BLVD
-----------------------------------------------------
City | PAWTUCKET
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02860-3219
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-725-1100
-----------------------------------------------------
Fax | 401-725-1120
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. JAMES E DOYLE II
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 401-725-1100
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | RI
-----------------------------------------------------