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General NPI Number Information
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NPI Number | 1710982301
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Entity Type | Organization
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Legal Business Name | CARDIOPULMONARY THERAPEUTICS AND DIAGNOSTICS INC
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 7400 IMPERIAL DR
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City | WACO
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State | TX
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Zip | 76712-6605
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Country | US
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Telephone | 254-772-6970
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Fax | 866-725-4443
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Provider Business Mailing Address
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Address Line | PO BOX 8160
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City | WACO
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State | TX
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Zip | 76714-8160
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Country | US
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Telephone | 254-772-6970
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Fax | 866-725-4443
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES RECKS
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Credential |
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Telephone | 254-772-6970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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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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