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General NPI Number Information
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NPI Number | 1083381776
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Entity Type | Organization
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Legal Business Name | TRIFOUR HEALTHCARE, LLC
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 4274 N BLACKSTONE AVE
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City | FRESNO
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State | CA
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Zip | 93726-1900
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Country | US
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Telephone | 800-666-5323
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Fax | 844-626-2020
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Provider Business Mailing Address
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Address Line | 4274 N BLACKSTONE AVE STE 102
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City | FRESNO
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State | CA
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Zip | 93726-1900
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Country | US
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Telephone | 800-666-5323
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Fax | 844-686-2020
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARTHA OZOKWELU
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Credential |
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Telephone | 800-666-5323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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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 |
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