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General NPI Number Information
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NPI Number | 1528330107
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Entity Type | Organization
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Legal Business Name | TIM BEATY BUILDERS, INC.
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 421 E HICKORY ST #200
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City | DENTON
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State | TX
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Zip | 76201-4233
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Country | US
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Telephone | 940-387-3278
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Fax | 940-382-5461
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Provider Business Mailing Address
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Address Line | P.O. BOX 68
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City | DENTON
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State | TX
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Zip | 76202
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Country | US
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Telephone | 940-387-3275
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Fax | 940-382-5461
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Authorized Official
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Title or Position | CONTROLLER
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Name | JILL BEATY
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Credential |
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Telephone | 940-387-3278
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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 | TX
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