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General NPI Number Information
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NPI Number | 1275328353
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Entity Type | Organization
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Legal Business Name | TIGHTY RECOVERY INC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 4137 SAUK TRL STE 202
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City | RICHTON PARK
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State | IL
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Zip | 60471-1253
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Country | US
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Telephone | 708-847-6412
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Fax |
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Provider Business Mailing Address
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Address Line | 4137 SAUK TRL STE 202
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City | RICHTON PARK
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State | IL
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Zip | 60471-1253
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Country | US
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Telephone | 708-847-6412
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERESA KING
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Credential |
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Telephone | 708-847-6412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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