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General NPI Number Information
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NPI Number | 1396611893
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Entity Type | Organization
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Legal Business Name | CLINIC AT CEDAR SPRINGS
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 8204 ELMBROOK DR STE 263
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City | DALLAS
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State | TX
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Zip | 75247-4067
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Country | US
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Telephone | 817-903-9498
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Fax |
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Provider Business Mailing Address
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Address Line | 8204 ELMBROOK DR STE 263
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City | DALLAS
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State | TX
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Zip | 75247-4067
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Country | US
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Telephone | 469-457-2058
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Fax | 214-387-1351
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Authorized Official
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Title or Position | NP
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Name | PETER TRIPORO
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Credential | APRN
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Telephone | 469-457-2058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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