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General NPI Number Information
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NPI Number | 1629304399
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Entity Type | Organization
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Legal Business Name | TRILOGY HEALTHCARE OF MONTGOMERY LLC
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Dates
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Enumeration Date | 10/30/2009
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 600 WEST NATIONAL ROAD
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City | ENGLEWOOD
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State | OH
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Zip | 45322-1162
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Country | US
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Telephone | 937-836-3149
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Fax | 937-836-3158
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Provider Business Mailing Address
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Address Line | 600 W NATIONAL RD
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City | ENGLEWOOD
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State | OH
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Zip | 45322-1469
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Country | US
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Telephone | 937-836-3149
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Fax |
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Authorized Official
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Title or Position | EVP & CLO
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Name | CRISTINA PIETROWSKI
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Credential |
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Telephone | 502-213-7572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | PENDING
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License Number State | OH
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