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General NPI Number Information
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NPI Number | 1063059236
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Entity Type | Organization
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Legal Business Name | TRIUMPH HEALTHCARE LLC
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Dates
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Enumeration Date | 12/05/2019
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 26126 OROVILLE PLACE
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City | LAGUNA HILLS
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State | CA
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Zip | 92653
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Country | US
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Telephone | 949-446-9906
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Fax | 949-446-9927
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Provider Business Mailing Address
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Address Line | 30251 GOLDEN LANTERN STE E415
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677
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Country | US
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Telephone | 800-575-9750
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Fax | 949-446-9927
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Authorized Official
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Title or Position | ADMINISTRATOR/PROGRAM DIRECTOR
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Name | MARCEE PATRICK
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Credential |
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Telephone | 800-575-9750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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