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General NPI Number Information
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NPI Number | 1427861640
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Entity Type | Organization
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Legal Business Name | TRINITY MEMORY CARE LLC
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 8582 OLD COUNTY ROAD 54
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653
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Country | US
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Telephone | 727-744-3407
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Fax | 727-744-3407
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Provider Business Mailing Address
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Address Line | 17901 HUNTING BOW CIR STE 102
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City | LUTZ
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State | FL
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Zip | 33558-5394
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Country | US
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Telephone | 727-744-3407
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ERIC MOORE
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Credential |
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Telephone | 727-744-3407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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