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General NPI Number Information
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NPI Number | 1215731351
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Entity Type | Organization
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Legal Business Name | TP BRANSON OPS LLC
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 3250 SHEPHERD OF THE HILLS EXPY
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City | BRANSON
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State | MO
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Zip | 65616-8104
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Country | US
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Telephone | 417-544-1586
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 ELM ST STE 4210
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City | DALLAS
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State | TX
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Zip | 75201-7282
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Country | US
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Telephone | 469-607-8448
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JEFF LOVE
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Credential |
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Telephone | 469-607-8448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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