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General NPI Number Information
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NPI Number | 1770086357
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Entity Type | Organization
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Legal Business Name | EAST COAST RESPIRATORY THERAPY INC
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Dates
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Enumeration Date | 03/09/2018
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Last Update Date | 03/09/2018
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Provider Practice Location Address
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Address Line | 1528 WILEY ST
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City | HOLLYWOOD
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State | FL
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Zip | 33020-6523
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Country | US
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Telephone | 954-297-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 1528 WILEY ST
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City | HOLLYWOOD
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State | FL
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Zip | 33020-6523
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Country | US
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Telephone | 954-297-4545
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIANA GIRALDO
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Credential |
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Telephone | 954-297-4545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | RT13901
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License Number State | FL
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