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General NPI Number Information
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NPI Number | 1033460910
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Entity Type | Organization
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Legal Business Name | TRINITY HEALTH CARE LLC
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Dates
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Enumeration Date | 10/02/2012
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Last Update Date | 11/01/2012
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Provider Practice Location Address
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Address Line | 2055 W FRYE RD STE 3
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City | CHANDLER
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State | AZ
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Zip | 85224-6277
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Country | US
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Telephone | 480-855-7123
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Fax | 480-855-7341
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Provider Business Mailing Address
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Address Line | 2055 W FRYE RD STE 3
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City | CHANDLER
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State | AZ
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Zip | 85224-6277
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Country | US
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Telephone | 480-855-7123
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Fax | 480-855-7341
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Authorized Official
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Title or Position | PIC
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Name | CHETAN KHATRI
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Credential |
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Telephone | 928-446-6605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | Y005539
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License Number State | AZ
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