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General NPI Number Information
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NPI Number | 1891981148
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Entity Type | Organization
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Legal Business Name | ATLAS RESPIRATORY SERVICES, INC
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 10925A RICHMOND HWY
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City | LYNCHBURG
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State | VA
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Zip | 24504-4147
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Country | US
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Telephone | 434-992-0634
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Fax | 434-993-0639
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Provider Business Mailing Address
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Address Line | 10925A RICHMOND HWY
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City | LYNCHBURG
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State | VA
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Zip | 24504-4147
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Country | US
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Telephone | 434-992-0634
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Fax | 434-993-0639
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAYMOND A. MIRRA JR.
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Credential |
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Telephone | 610-356-1123
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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 |
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License Number State |
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