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General NPI Number Information
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NPI Number | 1245210368
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Entity Type | Individual
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Provider Name | JOHNNY L TRIPLETT MD
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Gender | Male
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 4674 EAST BARKER WAY
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City | LONG BEACH
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State | CA
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Zip | 90814
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Country | US
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Telephone | 562-930-9059
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Fax | 562-930-9059
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Provider Business Mailing Address
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Address Line | 3811 WYNDHAM AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93313
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Country | US
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Telephone | 661-834-3929
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Fax | 661-834-2925
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A53390
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License Number State | CA
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