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General NPI Number Information
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NPI Number | 1114808904
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Entity Type | Individual
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Provider Name | KARA GRACE TRISLER
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Gender | Female
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 309 JACKSON ST
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City | MONROE
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State | LA
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Zip | 71201-7407
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Country | US
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Telephone | 318-966-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1167 FRAGALA ST
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City | RAYVILLE
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State | LA
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Zip | 71269-5568
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 025906
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License Number State | LA
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