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General NPI Number Information
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NPI Number | 1164145785
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Entity Type | Organization
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Legal Business Name | TRI STATE HEALTH SERVICES
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 300 LOVERS LN
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City | STEUBENVILLE
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State | OH
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Zip | 43953-3448
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Country | US
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Telephone | 740-314-5197
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Fax | 740-314-5772
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Provider Business Mailing Address
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Address Line | 300 LOVERS LN
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City | STEUBENVILLE
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State | OH
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Zip | 43953-3448
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Country | US
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Telephone | 740-314-5197
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Fax | 740-314-5772
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Authorized Official
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Title or Position | MANAGER, SENIOR ADULT SERVICES
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Name | TRUDY WILSON
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Credential | MBA
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Telephone | 740-314-5197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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