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General NPI Number Information
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NPI Number | 1639998743
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Entity Type | Organization
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Legal Business Name | TRINITY MEMORIAL HOSPITAL DISTRICT
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 1020 WEST 1ST STREET
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City | GROVETON
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State | TX
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Zip | 75845-4186
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Country | US
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Telephone | 936-642-1221
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Fax | 682-257-8894
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Provider Business Mailing Address
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Address Line | 1500 WEST ABRAMS STREET
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City | ARLINGTON
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State | TX
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Zip | 76013-1707
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Country | US
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Telephone | 682-305-7150
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Fax | 682-257-8894
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARJORY PULVINO
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Credential |
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Telephone | 936-744-1256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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