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General NPI Number Information
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NPI Number | 1285322826
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Entity Type | Organization
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Legal Business Name | TRINITY CARE SERVICES
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 161 BOARDWALK GARDENS DR
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City | O FALLON
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State | MO
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Zip | 63368-3915
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Country | US
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Telephone | 314-313-8456
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Fax |
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Provider Business Mailing Address
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Address Line | 161 BOARDWALK GARDENS DR
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City | O FALLON
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State | MO
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Zip | 63368-3915
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Country | US
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Telephone | 314-313-8456
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NANA GYAPOMAAH-DAPAAH
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Credential |
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Telephone | 314-583-7815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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