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General NPI Number Information
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NPI Number | 1831379056
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Entity Type | Organization
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Legal Business Name | RESPIRATORY SERVICES OF NORTHWEST FLORIDA, INC.
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 08/10/2018
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Provider Practice Location Address
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Address Line | 502 E PINE AVE STE B
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City | CRESTVIEW
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State | FL
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Zip | 32539
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Country | US
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Telephone | 850-689-5499
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Fax | 850-689-5498
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Provider Business Mailing Address
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Address Line | 502 E PINE AVE STE B
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City | CRESTVIEW
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State | FL
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Zip | 32539-2818
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Country | US
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Telephone | 850-689-5499
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Fax | 850-689-5498
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. NANCY E ENFINGER
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Credential | RRT
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Telephone | 850-689-5499
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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 | 321579
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License Number State | FL
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