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General NPI Number Information
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NPI Number | 1891979373
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Entity Type | Organization
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Legal Business Name | RESPI-CARE, INC.
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 05/21/2014
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Provider Practice Location Address
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Address Line | 1934 S MAIN ST
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City | MOULTRIE
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State | GA
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Zip | 31768-6524
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Country | US
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Telephone | 229-985-2273
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Fax | 229-890-0776
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Provider Business Mailing Address
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Address Line | 1934 S MAIN ST
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City | MOULTRIE
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State | GA
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Zip | 31768-6524
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Country | US
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Telephone | 229-985-2273
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Fax | 229-890-0776
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | PATSY LOUISE CLARK
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Credential |
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Telephone | 229-985-2273
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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 | 20017139030
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License Number State | GA
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