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NPI 1205296670

NPI 1205296670 : TRINSOL CARE LLC : STAFFORD, TX

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General NPI Number Information
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    NPI Number           |    1205296670
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRINSOL CARE LLC 
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Dates
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    Enumeration Date     |    02/29/2016
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    Last Update Date     |    07/23/2018
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Provider Practice Location Address
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    Address Line         |    4219 FERRO ST 
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    City                 |    STAFFORD
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    State                |    TX
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    Zip                  |    77477
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    Country              |    US
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    Telephone            |    503-586-3559
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4219 FERRO ST 
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    City                 |    STAFFORD
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    State                |    TX
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    Zip                  |    77477-5248
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    Country              |    US
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    Telephone            |    832-420-9324
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     KEZIA J ZIMMER 
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    Credential           |    
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    Telephone            |    832-420-9324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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