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General NPI Number Information
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NPI Number | 1679519169
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Entity Type | Organization
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Legal Business Name | RIPPETOE INC
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 12/09/2016
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Provider Practice Location Address
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Address Line | 3336 W ANDREW JOHNSON HWY
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City | MORRISTOWN
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State | TN
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Zip | 37814-3621
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Country | US
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Telephone | 423-581-8436
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Fax | 423-587-0326
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Provider Business Mailing Address
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Address Line | PO BOX 14001
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City | MORRISTOWN
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State | TN
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Zip | 37814-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEVE RIPPETOE
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Credential | DPH
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Telephone | 423-581-8436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0000002174
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License Number State | TN
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