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General NPI Number Information
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NPI Number | 1639350390
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Entity Type | Organization
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Legal Business Name | TRINITY HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 11/21/2007
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Last Update Date | 08/03/2009
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Provider Practice Location Address
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Address Line | 1008 BULLARD CT SUITE 203
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City | RALEIGH
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State | NC
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Zip | 27615-6833
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Country | US
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Telephone | 919-803-1831
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Fax | 919-803-1822
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Provider Business Mailing Address
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Address Line | 1008 BULLARD CT SUITE 203
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City | RALEIGH
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State | NC
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Zip | 27615-6833
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Country | US
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Telephone | 919-803-1831
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Fax | 919-803-1822
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Authorized Official
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Title or Position | DIRECTOR/CEO
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Name | REGINA HARRELL
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Credential |
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Telephone | 919-803-1831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HC2868
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License Number State | NC
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