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General NPI Number Information
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NPI Number | 1467674556
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Entity Type | Organization
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Legal Business Name | TRIMORE LTD
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 60 N CANFIELD NILES RD 800
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City | AUSTINTOWN
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State | OH
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Zip | 44515-2340
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Country | US
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Telephone | 330-792-6361
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Fax | 330-792-6383
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Provider Business Mailing Address
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Address Line | 60 N CANFIELD NILES RD 800
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City | AUSTINTOWN
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State | OH
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Zip | 44515-2340
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Country | US
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Telephone | 330-792-6361
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Fax | 330-792-6383
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARK ANTHONY SORRENTINO
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Credential | LPED, CPED
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Telephone | 330-792-6361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | LPED67
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License Number State | OH
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