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General NPI Number Information
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NPI Number | 1639682461
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Entity Type | Organization
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Legal Business Name | TRINITY RX, INC
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Dates
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Enumeration Date | 11/15/2017
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Last Update Date | 07/23/2018
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Provider Practice Location Address
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Address Line | 1408 8TH ST
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City | WICHITA FALLS
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State | TX
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Zip | 76301
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Country | US
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Telephone | 940-285-5396
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Fax | 940-285-5390
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Provider Business Mailing Address
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Address Line | 1408 8TH ST
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City | WICHITA FALLS
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State | TX
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Zip | 76301-3105
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Country | US
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Telephone | 940-285-5396
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Fax | 940-285-5390
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | JOE B HUGHES
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Credential | RPH
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Telephone | 940-285-5396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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