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General NPI Number Information
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NPI Number | 1104093830
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Entity Type | Organization
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Legal Business Name | TRINITY HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 3450 W 84TH ST SUITE 103
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-4924
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Country | US
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Telephone | 305-888-8902
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Fax | 305-888-8903
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Provider Business Mailing Address
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Address Line | 3450 W 84TH ST SUITE 103
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City | HIALEAH
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State | FL
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Zip | 33018-4924
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Country | US
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Telephone | 305-888-8902
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Fax | 305-888-8903
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. DIANA VALBUENA
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Credential | RN
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Telephone | 305-888-8902
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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 |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 299993264
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 299993264
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 299993264
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License Number State | FL
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