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General NPI Number Information
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NPI Number | 1790682532
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Entity Type | Organization
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Legal Business Name | TARRYTOWN EXPOCARE TN, LLC
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Dates
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Enumeration Date | 10/23/2026
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Last Update Date | 10/23/2026
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Provider Practice Location Address
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Address Line | 198 E DIVISION ST
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City | MT JULIET
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State | TN
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Zip | 37122-3324
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Country | US
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Telephone | 615-754-4667
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Fax | 615-758-5878
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Provider Business Mailing Address
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Address Line | 8500 SHOAL CREEK BLVD BLDG 1
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City | AUSTIN
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State | TX
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Zip | 78757-6888
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Country | US
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Telephone | 512-649-8963
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | ROBERT MEYER JR
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Credential |
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Telephone | 512-649-8963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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