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General NPI Number Information
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NPI Number | 1275598096
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Entity Type | Individual
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Provider Name | THOMAS JAROM TRIPP DMD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 5341 ANTOINE DR
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City | HOUSTON
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State | TX
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Zip | 77091-4909
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Country | US
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Telephone | 713-574-6070
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 OAK RD APT 2104
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City | PEARLAND
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State | TX
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Zip | 77584-8823
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Country | US
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Telephone | 214-518-3856
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 27397
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License Number State | TX
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