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General NPI Number Information
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NPI Number | 1235654559
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Entity Type | Individual
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Provider Name | TIMOTHY STRANGE R.PH
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Gender | Male
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 08/08/2017
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Provider Practice Location Address
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Address Line | 905 MEDICAL CENTRE DR STE B
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City | ARLINGTON
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State | TX
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Zip | 76012-4755
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Country | US
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Telephone | 817-861-2273
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Fax | 817-861-2273
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Provider Business Mailing Address
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Address Line | 1307 SHADY HOLW
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City | EULESS
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State | TX
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Zip | 76039-2745
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Country | US
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Telephone | 817-655-3218
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 38523
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License Number State | TX
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