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General NPI Number Information
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NPI Number | 1538777024
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Entity Type | Organization
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Legal Business Name | TRI-K HEALTH LLC
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 525 CHEROKEE BLVD STE 5
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City | CHATTANOOGA
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State | TN
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Zip | 37405-3865
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Country | US
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Telephone | 423-299-1626
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Fax |
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Provider Business Mailing Address
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Address Line | 617 SPRING VALLEY LN
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City | CHATTANOOGA
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State | TN
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Zip | 37415-3909
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Country | US
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Telephone | 423-413-8386
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS C RUMPH III
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Credential | PHARM D
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Telephone | 423-413-8386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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