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NPI 1144728882

NPI 1144728882 : TRINITY MD SOLUTIONS : MIAMI LAKES, FL

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General NPI Number Information
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    NPI Number           |    1144728882
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRINITY MD SOLUTIONS 
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Dates
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    Enumeration Date     |    01/29/2018
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    Last Update Date     |    01/29/2018
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Provider Practice Location Address
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    Address Line         |    3450 W 84TH ST 
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    City                 |    MIAMI LAKES
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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                  |    
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Provider Business Mailing Address
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    Address Line         |    3450 W 84TH ST 
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    City                 |    MIAMI LAKES
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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                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JAMES  KNOWLES 
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    Credential           |    
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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        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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