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General NPI Number Information
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NPI Number | 1124751326
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Entity Type | Organization
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Legal Business Name | TRILOGY MANAGEMENT SERVICES LLC
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 410 FAIR LN
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City | TIFFIN
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State | OH
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Zip | 44883-2518
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Country | US
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Telephone | 419-580-1047
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Fax |
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Provider Business Mailing Address
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Address Line | 100 W WOODMERE DR
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City | TIFFIN
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State | OH
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Zip | 44883-9326
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Country | US
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Telephone | 567-230-1570
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ALICIA WOLF
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Credential |
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Telephone | 419-580-1047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 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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