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General NPI Number Information
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NPI Number | 1780996355
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Entity Type | Organization
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Legal Business Name | FRESH AIR RESPIRATORY CARE INC.
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 7327 W FRIENDLY AVE SUITE C
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City | GREENSBORO
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State | NC
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Zip | 27410-6375
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Country | US
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Telephone | 336-855-2626
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Fax | 336-855-6625
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Provider Business Mailing Address
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Address Line | 645 COX RD SUITE C
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City | GASTONIA
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State | NC
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Zip | 28054-0648
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Country | US
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Telephone | 704-868-8881
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Fax | 704-868-8882
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Authorized Official
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Title or Position | PRESIDENT
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Name | GARY RANDALL LOTT
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Credential | RRT
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Telephone | 704-868-8881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 01636
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License Number State | NC
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