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General NPI Number Information
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NPI Number | 1669773529
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Entity Type | Organization
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Legal Business Name | D. R. RESPIRATORY SERVICES
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 5911 MEREDITH DR STE D
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City | URBANDALE
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State | IA
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Zip | 50322-1903
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Country | US
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Telephone | 151-542-2784
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Fax | 151-542-2726
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Provider Business Mailing Address
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Address Line | 5911 MEREDITH DR STE D
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City | URBANDALE
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State | IA
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Zip | 50322-1903
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Country | US
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Telephone | 151-542-2784
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Fax | 151-542-2726
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Authorized Official
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Title or Position | C.E.O
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Name | MR. RICHARD DOUGLAS RIBEIRO
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Credential | RCP
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Telephone | 15155567626
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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 | 00863
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License Number State | IA
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