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General NPI Number Information
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NPI Number | 1700196011
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Entity Type | Organization
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Legal Business Name | RELIABLE RESPIRATORY THERAPY
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 10/20/2010
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Provider Practice Location Address
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Address Line | 1009 HILLSIDE DR
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City | GREENVILLE
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State | NC
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Zip | 27858-4520
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Country | US
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Telephone | 252-227-4465
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Fax | 252-830-1675
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Provider Business Mailing Address
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Address Line | PO BOX 20365
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City | GREENVILLE
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State | NC
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Zip | 27858-0365
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Country | US
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Telephone | 252-227-4465
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Fax | 252-830-1675
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Authorized Official
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Title or Position | OWNER
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Name | MRS. PAM KIRKLAND
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Credential | RRT
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Telephone | 252-227-4465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | A-2925
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License Number State | NC
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