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General NPI Number Information
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NPI Number | 1912973165
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Entity Type | Individual
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Provider Name | RICHARD DAVID TRIFILO M.D
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Gender | Male
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 07/26/2018
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Provider Practice Location Address
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Address Line | 3449 N 10TH ST
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City | ABILENE
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State | TX
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Zip | 79603-4640
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Country | US
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Telephone | 325-437-8620
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Fax | 325-437-8695
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Provider Business Mailing Address
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Address Line | PO BOX 5409
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City | ABILENE
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State | TX
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Zip | 79608-5409
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Country | US
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Telephone | 325-437-8620
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Fax | 325-437-8695
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | GFE52434
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 036-098781
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 036-098781
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036-098781
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License Number State | IL
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