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General NPI Number Information
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NPI Number | 1013525518
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Entity Type | Organization
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Legal Business Name | TRINITY HOUSE CALL ASSOCIATE INC
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 1930 MARLTON PIKE E STE A1
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2142
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Country | US
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Telephone | 856-906-8939
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Fax | 856-272-7496
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Provider Business Mailing Address
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Address Line | 70 COLTS NECK DR
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-5610
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Country | US
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Telephone | 856-906-8939
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELEASE E CONEY
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Credential | NURSE PRACTITIONER
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Telephone | 856-906-8939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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