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General NPI Number Information
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NPI Number | 1275403784
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Entity Type | Organization
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Legal Business Name | DR TRIPP AND ASSOCIATES -TEXASCOR
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 5590 NW PINE TRAIL CIRCLE
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983
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Country | US
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Telephone | 772-494-7770
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Fax | 772-258-4480
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Provider Business Mailing Address
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Address Line | 5473 BLAIR RD STE 100
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City | DALLAS
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State | TX
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Zip | 75231-4227
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Country | US
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Telephone | 772-494-7770
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Fax | 772-258-4480
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Authorized Official
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Title or Position | CEO
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Name | SHARDAE C TRIPP
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Credential |
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Telephone | 772-494-7770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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