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General NPI Number Information
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NPI Number | 1669625240
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Entity Type | Organization
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Legal Business Name | TRINITY REHABILITATION SERVICES, INC
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 03/24/2010
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Provider Practice Location Address
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Address Line | 4534 BALTO WAY
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City | ACWORTH
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State | GA
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Zip | 30101-6303
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Country | US
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Telephone | 404-625-5458
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Fax | 770-966-0973
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Provider Business Mailing Address
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Address Line | 4534 BALTO WAY
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City | ACWORTH
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State | GA
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Zip | 30101-6303
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Country | US
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Telephone | 404-625-5458
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Fax | 770-966-0973
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | ANDRE B CHATMAN
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Credential | M.S.P.T.
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Telephone | 404-625-5458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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