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General NPI Number Information
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NPI Number | 1194340067
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Entity Type | Organization
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Legal Business Name | TRILOGY HEALTH CARE NURSING CARE NEXT DOOR
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Dates
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Enumeration Date | 06/16/2020
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Last Update Date | 06/16/2020
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Provider Practice Location Address
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Address Line | 103 ARBOR CREEK WAY
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City | DALLAS
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State | GA
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Zip | 30157-5569
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Country | US
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Telephone | 678-267-0849
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Fax |
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Provider Business Mailing Address
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Address Line | 103 ARBOR CREEK WAY
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City | DALLAS
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State | GA
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Zip | 30157-5569
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Country | US
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Telephone | 678-267-0849
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | INNOCENT EMEAFOR
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Credential |
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Telephone | 678-267-0849
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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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