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General NPI Number Information
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NPI Number | 1609525153
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Entity Type | Organization
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Legal Business Name | TSI OF RALEIGH
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 1401 SUNDAY DR STE 115
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City | RALEIGH
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State | NC
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Zip | 27607-5173
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Country | US
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Telephone | 919-307-1474
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 SUNDAY DR STE 115
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City | RALEIGH
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State | NC
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Zip | 27607-5173
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Country | US
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Telephone | 919-307-1474
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | DR. AMANDA MCDONALD
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Credential | PHARMD
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Telephone | 919-307-1474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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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 | 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 #4
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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