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General NPI Number Information
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NPI Number | 1982733002
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Entity Type | Organization
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Legal Business Name | GREENE RESPIRATORY SERVICES, INC
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 420 3RD ST STE 3
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City | AURORA
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State | IN
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Zip | 47001-1313
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Country | US
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Telephone | 812-926-1582
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Fax | 812-926-3972
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Provider Business Mailing Address
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Address Line | 424 3RD ST
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City | AURORA
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State | IN
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Zip | 47001-1312
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Country | US
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Telephone | 513-564-1582
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Fax | 812-926-3972
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Authorized Official
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Title or Position | CFO
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Name | MR. TONY ESCAMILLA
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Credential |
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Telephone | 513-831-0507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 69000109A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 69000109A
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License Number State | IN
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