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General NPI Number Information
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NPI Number | 1023887312
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Entity Type | Organization
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Legal Business Name | TRENDSTAR LLC
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Dates
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Enumeration Date | 12/27/2023
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Last Update Date | 05/24/2025
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Provider Practice Location Address
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Address Line | 12721 DARBY BROOK CT STE 202-5
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2408
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Country | US
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Telephone | 571-303-1387
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Fax | 571-303-1567
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Provider Business Mailing Address
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Address Line | 145 HARRELL RD STE 103
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City | FREDERICKSBURG
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State | VA
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Zip | 22405-4000
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Country | US
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Telephone | 703-688-3262
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MICHAEL ASEKA OKUTUTI
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Credential |
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Telephone | 571-201-2930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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