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General NPI Number Information
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NPI Number | 1528455854
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Entity Type | Organization
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Legal Business Name | AVERY TRITT HOLDINGS, LLC
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Dates
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Enumeration Date | 04/24/2015
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 17757 US HIGHWAY 19 N STE 325
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City | CLEARWATER
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State | FL
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Zip | 33764-3503
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Country | US
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Telephone | 727-343-6462
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Fax | 727-255-5230
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Provider Business Mailing Address
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Address Line | 17757 US HIGHWAY 19 N STE 325
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City | CLEARWATER
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State | FL
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Zip | 33764-3503
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Country | US
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Telephone | 727-343-6462
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Fax | 727-255-5230
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Authorized Official
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Title or Position | REGIONAL VP OF CLINICAL OPERATIONS
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Name | ALLISON ALINE BRICKER
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Credential | RN
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Telephone | 727-343-6462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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