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General NPI Number Information
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NPI Number | 1649432949
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Entity Type | Organization
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Legal Business Name | TRINITY NP CARE LLC
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 08/28/2008
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Provider Practice Location Address
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Address Line | 2127 TALL TIMBERS CT
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City | COLUMBUS
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State | OH
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Zip | 43228-9638
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Country | US
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Telephone | 614-496-6491
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Fax | 614-279-7337
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Provider Business Mailing Address
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Address Line | 125 PELRET PKWY #200
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City | BEREA
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State | OH
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Zip | 44017
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Country | US
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Telephone | 440-274-5000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CINDY L BERTHOLD
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Credential | CNP
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Telephone | 614-496-6491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1745451
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License Number State | OH
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