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General NPI Number Information
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NPI Number | 1639549694
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Entity Type | Organization
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Legal Business Name | TRIPPS FAMILY INC
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Dates
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Enumeration Date | 10/03/2015
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Last Update Date | 10/03/2015
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Provider Practice Location Address
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Address Line | 539 E WASHINGTON ST
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City | SULLIVAN
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State | IN
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Zip | 47882-1624
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Country | US
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Telephone | 812-699-9791
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Fax |
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Provider Business Mailing Address
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Address Line | 539 E WASHINGTON ST
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City | SULLIVAN
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State | IN
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Zip | 47882-1624
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Country | US
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Telephone | 812-699-9791
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SARA ELISABETH TRIPPS
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Credential | D.C.
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Telephone | 812-699-9790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08002541A
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License Number State | IN
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