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General NPI Number Information
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NPI Number | 1073022968
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Entity Type | Organization
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Legal Business Name | TRINITY CARE GROUP
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Dates
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Enumeration Date | 09/24/2017
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Last Update Date | 09/25/2017
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Provider Practice Location Address
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Address Line | 1483 JOHN ROBERT DR STE B
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City | MORROW
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State | GA
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Zip | 30260-1772
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Country | US
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Telephone | 770-703-6721
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Fax |
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Provider Business Mailing Address
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Address Line | 330 HERRON CV SW
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City | ATLANTA
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State | GA
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Zip | 30349-1537
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FREDINNA LAPSLEY
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Credential |
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Telephone | 404-242-5098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | GA
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