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General NPI Number Information
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NPI Number | 1164674941
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Entity Type | Organization
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Legal Business Name | TRINITY THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 10/11/2008
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Last Update Date | 10/11/2008
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Provider Practice Location Address
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Address Line | 2656 ROSEWOOD DR
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City | WINTERVILLE
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State | NC
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Zip | 28590-9158
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Country | US
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Telephone | 252-341-7193
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Fax | 252-756-6331
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Provider Business Mailing Address
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Address Line | 2656 ROSEWOOD DR
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City | WINTERVILLE
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State | NC
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Zip | 28590-9158
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Country | US
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Telephone | 252-341-7193
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Fax | 252-756-6331
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Authorized Official
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Title or Position | ITFS, COTA/L DIRECTOR
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Name | MRS. STEPHANIE H. MAY
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Credential | COTA/L, ITFS,
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Telephone | 252-341-7193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 3850
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License Number State | NC
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