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General NPI Number Information
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NPI Number | 1972137826
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Entity Type | Organization
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Legal Business Name | BREATH OF SUNSHINE SERVICES, INC
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Dates
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Enumeration Date | 03/01/2020
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 4456 TAMIAMI TRL STE B15
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City | PORT CHARLOTTE
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State | FL
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Zip | 33980-2136
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Country | US
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Telephone | 772-501-2846
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Fax | 954-583-5949
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Provider Business Mailing Address
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Address Line | 4456 TAMIAMI TRL STE B15
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City | PORT CHARLOTTE
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State | FL
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Zip | 33980-2136
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Country | US
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Telephone | 772-501-2846
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Fax | 954-583-5949
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER FREDA
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Credential |
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Telephone | 772-501-2846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2279H0200X
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Taxonomy Name | Home Health Registered Respiratory Therapist
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License Number |
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License Number State |
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