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General NPI Number Information
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NPI Number | 1205121787
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Entity Type | Organization
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Legal Business Name | ORPHEUS L. TRIPLETT, D.D.S., P.C.
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Dates
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Enumeration Date | 06/13/2011
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Last Update Date | 06/13/2011
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Provider Practice Location Address
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Address Line | 7223 WINCHESTER RD
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City | MEMPHIS
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State | TN
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Zip | 38125-2149
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Country | US
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Telephone | 901-752-5738
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Fax |
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Provider Business Mailing Address
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Address Line | 7223 WINCHESTER RD
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City | MEMPHIS
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State | TN
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Zip | 38125-2149
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Country | US
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Telephone | 901-752-5738
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ORPHEUS L. TRIPLETT
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Credential | D.D.S.
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Telephone | 901-752-5738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DS0000004439
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License Number State | TN
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