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General NPI Number Information
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NPI Number | 1861772212
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Entity Type | Organization
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Legal Business Name | FRESH AIRE RESPIRATORY, INC.
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 6030 SAINT ANDREWS RD SUITE K
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City | COLUMBIA
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State | SC
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Zip | 29212-3164
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Country | US
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Telephone | 803-807-9220
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Fax | 803-807-9416
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Provider Business Mailing Address
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Address Line | 6030 SAINT ANDREWS RD SUITE K
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City | COLUMBIA
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State | SC
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Zip | 29212-3164
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Country | US
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Telephone | 803-807-9220
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Fax | 803-807-9416
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Authorized Official
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Title or Position | VP OF SALES
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Name | MR. JOSHUA PHILIP BIGBY
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Credential |
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Telephone | 803-807-9220
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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 | 116819
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License Number State | SC
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