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General NPI Number Information
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NPI Number | 1003846999
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Entity Type | Organization
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Legal Business Name | TSR THERAPEUTICS, INC.
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 1414 W RANDOL MILL RD STE. 112
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City | ARLINGTON
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State | TX
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Zip | 76012-3159
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Country | US
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Telephone | 817-640-5526
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Fax | 817-640-5537
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Provider Business Mailing Address
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Address Line | PO BOX 5433
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City | ARLINGTON
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State | TX
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Zip | 76005-5433
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Country | US
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Telephone | 817-640-5526
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Fax | 817-640-5537
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Authorized Official
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Title or Position | OWNER/ CEO
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Name | KRISTIN UFOLLA
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Credential | RN, CPED, COF
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Telephone | 817-640-5526
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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 | 0088859
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License Number State | TX
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