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General NPI Number Information
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NPI Number | 1386451698
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Entity Type | Individual
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Provider Name | TRISTIAN LAMPPERT PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 5543 E WASHINGTON ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-6448
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Country | US
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Telephone | 317-359-8278
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Fax | 317-359-5939
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Provider Business Mailing Address
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Address Line | 23076 HAMBURG RD
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City | OLDENBURG
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State | IN
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Zip | 47036-9752
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26030886A
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License Number State | IN
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