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General NPI Number Information
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NPI Number | 1922471960
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Entity Type | Organization
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Legal Business Name | TRIPURA INC
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Dates
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Enumeration Date | 11/12/2015
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 5881 VIRGINIA PKWY STE 400
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City | MCKINNEY
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State | TX
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Zip | 75071-5402
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Country | US
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Telephone | 214-585-4600
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Fax | 214-585-4602
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Provider Business Mailing Address
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Address Line | 5881 VIRGINIA PKWY SUITE # 400
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City | MCKINNEY
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State | TX
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Zip | 75071-5640
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Country | US
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Telephone | 214-585-4600
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Fax | 214-585-4602
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Authorized Official
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Title or Position | PHARMACIST
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Name | PRAFUL PATEL
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Credential |
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Telephone | 817-557-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | 30266
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License Number State | TX
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