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General NPI Number Information
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NPI Number | 1699771253
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Entity Type | Organization
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Legal Business Name | EXTENDED CARE AIR THERAPY SYSTEMS, INC
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7165 PAYNE RD
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City | ROSEVILLE
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State | OH
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Zip | 43777-9711
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Country | US
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Telephone | 740-697-0845
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25
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City | ROSEVILLE
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State | OH
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Zip | 43777-0025
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Country | US
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Telephone | 740-697-0845
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Fax | 740-697-2392
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Authorized Official
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Title or Position | PRESIDENT
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Name | JERRY MAY
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Credential |
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Telephone | 740-607-0845
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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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