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General NPI Number Information
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NPI Number | 1235426735
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Entity Type | Organization
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Legal Business Name | TRINITY 3 LLC
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Dates
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Enumeration Date | 07/05/2011
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Last Update Date | 07/05/2011
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Provider Practice Location Address
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Address Line | 750 OLD HICKORY BLVD BLDG. 2, STE. 150
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City | BRENTWOOD
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State | TN
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Zip | 37027-4528
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Country | US
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Telephone | 615-371-1077
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Fax | 866-931-0282
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Provider Business Mailing Address
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Address Line | 750 OLD HICKORY BLVD BLDG. 2, STE. 150
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City | BRENTWOOD
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State | TN
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Zip | 37027-4528
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Country | US
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Telephone | 615-371-1077
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Fax | 866-931-0282
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ELIZABETH GARSHNICK
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Credential |
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Telephone | 615-371-1077
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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 | L000000008046
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License Number State | TN
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