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General NPI Number Information
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NPI Number | 1932266632
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Entity Type | Organization
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Legal Business Name | PEDIATRIC HOME RESPIRATORY SERVICES LLC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 2800 CLEVELAND AVE N
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City | ROSEVILLE
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State | MN
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Zip | 55113-1126
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Country | US
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Telephone | 651-642-1825
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Fax | 651-638-0980
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Provider Business Mailing Address
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Address Line | 2800 CLEVELAND AVE N
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City | ROSEVILLE
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State | MN
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Zip | 55113-1126
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Country | US
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Telephone | 651-642-1825
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Fax | 651-638-0980
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Authorized Official
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Title or Position | VP OF QUALITY AND COMPLIANCE
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Name | JOYCE ANN BULMAN
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Credential |
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Telephone | 651-789-0926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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