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General NPI Number Information
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NPI Number | 1316103807
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Entity Type | Organization
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Legal Business Name | TRINITY HOME HEALTH CARE PROVIDERS LLC
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 902 W LUMSDEN RD SUITE 104
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City | BRANDON
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State | FL
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Zip | 33511-8806
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Country | US
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Telephone | 813-689-4884
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Fax | 813-689-4889
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Provider Business Mailing Address
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Address Line | 902 W LUMSDEN RD SUITE 104
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City | BRANDON
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State | FL
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Zip | 33511-8806
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Country | US
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Telephone | 813-689-4884
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Fax | 813-689-4889
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MS. LINDA C SMITH
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Credential |
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Telephone | 813-689-4884
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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 | 230260
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License Number State | FL
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