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General NPI Number Information
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NPI Number | 1932422607
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Entity Type | Organization
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Legal Business Name | GULF COAST RESPIRATORY SERVICES LLC
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 11/14/2013
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Provider Practice Location Address
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Address Line | 2210 VANDERBILT BEACH ROAD #1201 (SUITE)
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City | NAPLES
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State | FL
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Zip | 34109
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Country | US
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Telephone | 317-752-1017
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Fax |
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Provider Business Mailing Address
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Address Line | 2210 VANDERBILT BEACH ROAD SUITE 1201
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City | NAPLES
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State | FL
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Zip | 34109
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Country | US
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Telephone | 239-250-8696
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS D JONES
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Credential |
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Telephone | 317-752-1017
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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 | FL
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