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NPI 1588536171

NPI 1588536171 : TRINITY ADULT DAY PROGRAM INC : WORCESTER, MA

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General NPI Number Information
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    NPI Number           |    1588536171
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRINITY ADULT DAY PROGRAM INC 
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Dates
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    Enumeration Date     |    09/22/2025
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    Last Update Date     |    09/22/2025
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Provider Practice Location Address
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    Address Line         |    570 LINCOLN ST 
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    City                 |    WORCESTER
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    State                |    MA
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    Zip                  |    01605-1916
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    Country              |    US
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    Telephone            |    508-304-0145
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    Fax                  |    774-548-6362
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Provider Business Mailing Address
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    Address Line         |    570 LINCOLN ST 
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    City                 |    WORCESTER
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    State                |    MA
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    Zip                  |    01605-1916
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    Country              |    US
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    Telephone            |    508-304-0145
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    Fax                  |    774-548-6362
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     PAUL  AWOTWI-MENSAH 
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    Credential           |    
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    Telephone            |    508-304-0014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA0600X
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    Taxonomy Name        |    Adult Day Care Clinic/Center
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    License Number       |    
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    License Number State |    
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