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General NPI Number Information
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NPI Number | 1427199843
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Entity Type | Organization
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Legal Business Name | TPK CORPORATION
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 1602 & ONE HALF STONE STREET
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City | FALLS CITY
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State | NE
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Zip | 68355
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Country | US
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Telephone | 402-245-2400
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Fax | 402-245-4846
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Provider Business Mailing Address
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Address Line | PO BOX 307 1602 1/2 STONE STREET
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City | FALLS CITY
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State | NE
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Zip | 68355
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Country | US
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Telephone | 402-245-2400
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Fax | 402-245-4846
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TERRY JOSEPH BRENNAN
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Credential |
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Telephone | 402-245-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 145
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License Number State | NE
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