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General NPI Number Information
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NPI Number | 1659976223
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Entity Type | Organization
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Legal Business Name | TRIOVA PHARMACEUTICALS, LLC
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Dates
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Enumeration Date | 12/02/2020
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 115 W 3RD ST STE 720
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City | TULSA
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State | OK
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Zip | 74103-3413
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Country | US
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Telephone | 539-777-0720
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Fax | 539-777-2487
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Provider Business Mailing Address
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Address Line | 115 W 3RD ST STE 720
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City | TULSA
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State | OK
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Zip | 74103-3413
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Country | US
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Telephone | 539-777-0720
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Fax | 539-777-2487
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Authorized Official
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Title or Position | OPERATIONS
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Name | DAVID L. HAIR JR.
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Credential |
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Telephone | 539-777-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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