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General NPI Number Information
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NPI Number | 1942730577
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Entity Type | Organization
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Legal Business Name | BREATHE DIAGNOSTIC INC.
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3155 HOLIDAY SPRINGS BLVD APT 8
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City | MARGATE
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State | FL
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Zip | 33063-5459
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Country | US
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Telephone | 954-653-8599
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Fax | 954-688-2508
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Provider Business Mailing Address
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Address Line | 3155 HOLIDAY SPRINGS BLVD SUITE 8
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City | MARGATE
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State | FL
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Zip | 33063
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Country | US
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Telephone | 954-653-8599
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Fax | 954-688-2508
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANDREW SAMUELS
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Credential | CERT RESPIRATORY
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Telephone | 954-653-8599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | TT0008704
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License Number State | FL
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