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General NPI Number Information
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NPI Number | 1154069623
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Entity Type | Individual
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Provider Name | DAVID LEVI TRIMMELL PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 05/24/2022
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 909 ALAMEDA ST
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City | NORMAN
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State | OK
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Zip | 73071-5229
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Country | US
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Telephone | 405-360-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 1211 SE 17TH ST
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City | NEWCASTLE
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State | OK
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Zip | 73065-6666
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Country | US
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Telephone | 405-630-0030
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19574
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License Number State | OK
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