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General NPI Number Information
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NPI Number | 1386707909
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Entity Type | Organization
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Legal Business Name | TRNITY HEALTHCARE CORP
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 85 GENEVA DR
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City | OVIEDO
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State | FL
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Zip | 32765-6757
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Country | US
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Telephone | 407-366-2677
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Fax | 407-366-2535
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Provider Business Mailing Address
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Address Line | 85 GENEVA DR
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City | OVIEDO
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State | FL
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Zip | 32765-6757
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OBI ENEMCHUKWY
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Credential | PHRM
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Telephone | 407-366-2677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH11704
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License Number State | FL
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