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General NPI Number Information
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NPI Number | 1437573375
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Entity Type | Organization
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Legal Business Name | TRIMED HEALTHCARE, LLC
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 3 WARWICK CT
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City | NEWTOWN
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State | PA
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Zip | 18940-2406
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Country | US
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Telephone | 215-279-8772
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Fax | 215-543-3210
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Provider Business Mailing Address
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Address Line | 2865 S EAGLE RD STE 349
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City | NEWTOWN
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State | PA
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Zip | 18940-1546
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Country | US
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Telephone | 215-279-8772
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Fax | 215-543-3210
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. BEVERLEY P JORDAN
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Credential | CPA, MBA
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Telephone | 215-279-8772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 24213601
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 24213601
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 24213601
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 24213601
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License Number State | PA
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