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General NPI Number Information
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NPI Number | 1497218416
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Entity Type | Organization
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Legal Business Name | THE TY-CI GROUP, INC
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 1219 ANNAPOLIS RD
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City | ODENTON
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State | MD
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Zip | 21113-1326
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Country | US
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Telephone | 410-305-0601
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Fax |
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Provider Business Mailing Address
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Address Line | 1219 ANNAPOLIS RD
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City | ODENTON
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State | MD
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Zip | 21113-1326
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Country | US
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Telephone | 410-305-0601
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA ENNIS
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Credential |
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Telephone | 410-305-0601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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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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