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General NPI Number Information
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NPI Number | 1235390089
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Entity Type | Organization
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Legal Business Name | TRUSTED LIFE CARE
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 6447 S EAST ST STE C
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-2118
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Country | US
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Telephone | 317-585-9137
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Fax | 317-791-9139
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Provider Business Mailing Address
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Address Line | 1425 GREENWAY DR STE 300
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City | IRVING
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State | TX
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Zip | 75038-2486
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Country | US
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Telephone | 972-539-6060
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Fax | 317-791-9139
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | WILLIAM J GUIDETTI SR.
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Credential |
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Telephone | 469-499-2876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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