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General NPI Number Information
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NPI Number | 1427073246
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Entity Type | Organization
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Legal Business Name | SENIOR RESPIRATORY SOLUTIONS, INC.
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 09/07/2011
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Provider Practice Location Address
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Address Line | 3101 KENNEDY LANE SUITE 1000
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City | TEXARKANA
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State | TX
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Zip | 75503-3560
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Country | US
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Telephone | 903-794-4386
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Fax | 903-794-4390
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Provider Business Mailing Address
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Address Line | 3101 KENNEDY LANE SUITE 1000
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City | TEXARKANA
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State | TX
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Zip | 75503-3560
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Country | US
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Telephone | 903-794-4386
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Fax | 903-794-4390
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Authorized Official
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Title or Position | CEO/BOARD OF DIRECTORS
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Name | MRS. LORI S JACKSON
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Credential |
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Telephone | 903-794-4386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 22407
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1000338
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License Number State | TX
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