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General NPI Number Information
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NPI Number | 1548591829
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Entity Type | Organization
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Legal Business Name | TRINITY SENIOR IN HOME HEALTH CARE
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Dates
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Enumeration Date | 01/26/2010
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Last Update Date | 01/26/2010
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Provider Practice Location Address
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Address Line | 1797 HILLSBORO RD SUITE 4
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City | ORANGEBURG
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State | SC
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Zip | 29115-3395
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Country | US
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Telephone | 803-245-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 1797 HILLSBORO RD SUITE 4
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City | ORANGEBURG
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State | SC
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Zip | 29115-3395
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Country | US
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Telephone | 803-245-1212
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARY EVELYN ALLEN
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Credential |
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Telephone | 803-245-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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