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General NPI Number Information
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NPI Number | 1831532688
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Entity Type | Organization
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Legal Business Name | TRIPOD, INC.
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 148 N BRENT ST STE 201
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City | VENTURA
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State | CA
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Zip | 93003-2818
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Country | US
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Telephone | 805-585-2273
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Fax | 805-585-2293
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Provider Business Mailing Address
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Address Line | 148 N BRENT ST STE 201
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City | VENTURA
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State | CA
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Zip | 93003-2818
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Country | US
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Telephone | 805-585-2273
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Fax | 805-585-2293
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL SERVICES
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Name | ARCHIE B WILLIAMS
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Credential | RN BSN
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Telephone | 805-585-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 3-13-6808
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License Number State | CA
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