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General NPI Number Information
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NPI Number | 1013249648
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Entity Type | Organization
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Legal Business Name | CARE TRINITY OF TEXAS, INC
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Dates
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Enumeration Date | 02/08/2010
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Last Update Date | 02/08/2010
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Provider Practice Location Address
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Address Line | 3708 W DAVIS ST SUITE B
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City | CONROE
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State | TX
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Zip | 77304-1865
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Country | US
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Telephone | 734-368-0951
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Fax |
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Provider Business Mailing Address
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Address Line | 2755 CARPENTER RD SUITE 3NW
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City | ANN ARBOR
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State | MI
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Zip | 48108-1186
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Country | US
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Telephone | 734-368-0951
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | EDITH HENDERSON
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Credential |
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Telephone | 734-368-0951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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