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General NPI Number Information
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NPI Number | 1215007927
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Entity Type | Organization
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Legal Business Name | TRI-C MANAGMENT, LTD
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 100 S DIVISION ST
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City | CARTERVILLE
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State | IL
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Zip | 62918-1359
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Country | US
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Telephone | 618-985-4100
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Fax | 618-985-6100
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Provider Business Mailing Address
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Address Line | 100 S DIVISION ST
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City | CARTERVILLE
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State | IL
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Zip | 62918-1359
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Country | US
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Telephone | 618-985-4100
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Fax | 618-985-6100
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Authorized Official
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Title or Position | PHARMACIST
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Name | MRS. KRISTI ANN SCHULMEISTER
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Credential |
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Telephone | 618-985-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 54015472
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License Number State | IL
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