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General NPI Number Information
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NPI Number | 1780671974
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Entity Type | Organization
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Legal Business Name | TROM ENTERPRISES, INC.
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 06/30/2015
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Provider Practice Location Address
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Address Line | 101 MURRAY PLAZA
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City | CHATSWORTH
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State | GA
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Zip | 30705
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Country | US
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Telephone | 706-695-4576
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Fax | 706-695-6696
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Provider Business Mailing Address
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Address Line | 101 MURRAY PLAZA
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City | CHATSWORTH
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State | GA
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Zip | 30705
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Country | US
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Telephone | 706-695-4576
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Fax | 706-695-6696
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. THOMAS J. PEEPLES JR.
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Credential | PRESIDENT
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Telephone | 706-695-4576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail 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 |
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License Number State | GA
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