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General NPI Number Information
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NPI Number | 1972738789
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Entity Type | Organization
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Legal Business Name | ASA'S RESPIRATORY CARE SERVICE'S
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Dates
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Enumeration Date | 05/22/2009
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Last Update Date | 05/22/2009
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Provider Practice Location Address
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Address Line | 124 W FOOTHILL BLVD STE B
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City | RIALTO
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State | CA
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Zip | 92376-5072
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Country | US
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Telephone | 951-224-2607
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Fax |
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Provider Business Mailing Address
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Address Line | 124 W FOOTHILL BLVD STE B
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City | RIALTO
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State | CA
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Zip | 92376-5072
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Country | US
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Telephone | 951-224-2607
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ASA LLOYD HAWKINS
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Credential | RCP
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Telephone | 951-224-2607
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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 | 0009856
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License Number State | CA
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