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General NPI Number Information
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NPI Number | 1700293545
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Entity Type | Organization
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Legal Business Name | SOUTHWEST PULMONARY SERVICES CORP
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 1938 SE 22ND CT
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City | HOMESTEAD
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State | FL
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Zip | 33035-1238
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Country | US
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Telephone | 305-812-0206
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Fax | 786-404-3711
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Provider Business Mailing Address
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Address Line | 1938 SE 22ND CT
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City | HOMESTEAD
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State | FL
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Zip | 33035-1238
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RESPIRATORY THERAPIST
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Name | MR. NEVINSTHON S ALCINDOR SR.
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Credential | C.R.T
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Telephone | 305-812-0206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | TT13323
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License Number State | FL
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