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General NPI Number Information
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NPI Number | 1831743632
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Entity Type | Organization
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Legal Business Name | TTGI2 LLC
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 426 WEST MAIN STREET
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City | WISE
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State | VA
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Zip | 24293
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Country | US
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Telephone | 276-321-0088
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Fax | 276-807-7341
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Provider Business Mailing Address
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Address Line | PO BOX 1439
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City | COEBURN
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State | VA
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Zip | 24230-1439
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Country | US
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Telephone | 276-321-0088
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Fax | 276-807-7341
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Authorized Official
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Title or Position | PHARMACIST
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Name | MATTHEW SCOTT VILLIARD
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Credential | RPH
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Telephone | 276-321-0088
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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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