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General NPI Number Information
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NPI Number | 1902156235
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Entity Type | Individual
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Provider Name | JOSEPH DAVIS OZMENT RRT
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Gender | Male
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Dates
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Enumeration Date | 09/13/2012
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Last Update Date | 09/13/2012
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Provider Practice Location Address
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Address Line | 1970 ROANOKE BLVD
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City | ROANOKE
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State | VA
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Zip | 24153-0000
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Country | US
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Telephone | 540-224-1983
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Fax |
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Provider Business Mailing Address
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Address Line | 1818 ANGEL PL
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City | HUDDLESTON
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State | VA
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Zip | 24104-0000
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Country | US
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Telephone | 540-583-2833
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | 123689
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License Number State | VA
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