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General NPI Number Information
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NPI Number | 1578157467
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Entity Type | Organization
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Legal Business Name | TRUSTY FAMILY CARE SERVICES
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Dates
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Enumeration Date | 02/22/2021
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 12123 BROOKS RIVER DR
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City | ARLINGTON
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State | TN
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Zip | 38002-8472
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Country | US
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Telephone | 901-290-3593
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Fax |
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Provider Business Mailing Address
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Address Line | 12123 BROOKS RIVER DR
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City | ARLINGTON
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State | TN
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Zip | 38002-8472
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Country | US
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Telephone | 901-290-3593
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHAD EUGENE TRUSTY
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Credential |
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Telephone | 901-289-3270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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