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General NPI Number Information
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NPI Number | 1336597319
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Entity Type | Organization
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Legal Business Name | THE TRINITY SITTER SERVICE LLC
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 05/31/2016
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Provider Practice Location Address
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Address Line | 307 E AUSTIN ST STE B
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City | MARSHALL
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State | TX
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Zip | 75670-3475
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Country | US
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Telephone | 903-472-4798
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Fax | 903-472-4799
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Provider Business Mailing Address
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Address Line | PO BOX 1655
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City | MARSHALL
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State | TX
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Zip | 75671-1655
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Country | US
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Telephone | 903-472-4798
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Fax | 903-472-4799
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MONA L BRADLEY
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Credential | LVN
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Telephone | 903-472-4798
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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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