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General NPI Number Information
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NPI Number | 1427293869
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Entity Type | Organization
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Legal Business Name | TYSON RESPIRATORY SERVICES
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Dates
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Enumeration Date | 12/15/2008
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 3508 GARDEN RD SUITE D-3
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City | BURLINGTON
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State | NC
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Zip | 27215-8716
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Country | US
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Telephone | 336-437-7217
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Fax | 877-511-2191
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Provider Business Mailing Address
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Address Line | 3508 GARDEN RD SUITE D-3
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City | BURLINGTON
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State | NC
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Zip | 27215-8716
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Country | US
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Telephone | 336-437-7217
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Fax | 877-511-2191
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Authorized Official
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Title or Position | CEO/RESPIRATORY THERAPIST
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Name | LAMONT TYSON
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Credential | RCP
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Telephone | 336-437-7217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | A-4816
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License Number State | NC
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