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General NPI Number Information
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NPI Number | 1063608560
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Entity Type | Organization
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Legal Business Name | TRINITY PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 19840 SW 87TH PL
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City | CUTLER BAY
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State | FL
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Zip | 33157-8932
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Country | US
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Telephone | 305-256-9096
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Fax | 305-253-2788
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Provider Business Mailing Address
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Address Line | 19840 SW 87TH PL
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City | CUTLER BAY
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State | FL
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Zip | 33157-8932
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Country | US
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Telephone | 305-256-9096
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Fax | 305-253-2788
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Authorized Official
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Title or Position | S.D.
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Name | MRS. CINTIA DIAS
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Credential | R.N.
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Telephone | 305-256-9096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | FL
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