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General NPI Number Information
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NPI Number | 1497299135
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Entity Type | Organization
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Legal Business Name | TRINA HEALTH OF NEW ALBANY, INC
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Dates
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Enumeration Date | 12/15/2016
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Last Update Date | 12/15/2016
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Provider Practice Location Address
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Address Line | 608 WEST BANKHEAD STREET
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City | NEW ALBANY
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State | MS
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Zip | 38652
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Country | US
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Telephone | 662-554-9252
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 250
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City | BOONEVILLE
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State | MS
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Zip | 38829
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Country | US
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Telephone | 662-554-9252
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Fax |
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Authorized Official
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Title or Position | CPA
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Name | CHRISTOPHER D JONES
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Credential | CPA
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Telephone | 662-554-9252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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