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General NPI Number Information
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NPI Number | 1861469959
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Entity Type | Organization
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Legal Business Name | HOME RESPIRATORY CARE INC
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 05/13/2015
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Provider Practice Location Address
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Address Line | 417B EDWARDS RD
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City | STARKE
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State | FL
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Zip | 32091-3903
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Country | US
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Telephone | 904-966-0520
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Fax | 904-966-0521
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Provider Business Mailing Address
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Address Line | 417B EDWARDS RD
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City | STARKE
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State | FL
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Zip | 32091-3903
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Country | US
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Telephone | 904-966-0520
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Fax | 904-966-0521
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BRET J HINES
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Credential | CRTT
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Telephone | 904-966-0520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1434
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License Number State | FL
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