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General NPI Number Information
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NPI Number | 1043698335
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Entity Type | Organization
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Legal Business Name | THE TRINITY GROUP OF FLORIDA , INC.
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 08/05/2016
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Provider Practice Location Address
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Address Line | 102 W ORANGE ST
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City | LAKELAND
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State | FL
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Zip | 33815-4645
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Country | US
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Telephone | 813-508-0816
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Fax |
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Provider Business Mailing Address
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Address Line | 400 N ASHLEY DR SUITE 1900
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City | TAMPA
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State | FL
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Zip | 33602-4300
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Country | US
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Telephone | 407-222-9898
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ROSALYN A THOMAS
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Credential | LCSW PHD
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Telephone | 407-222-9898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW8213
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License Number State | FL
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