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General NPI Number Information
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NPI Number | 1679622757
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Entity Type | Organization
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Legal Business Name | TRINITY HOME HEALTHCARE, INC.
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 1424 S JK POWELL BLVD SUITE E
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City | WHITEVILLE
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State | NC
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Zip | 28472-9167
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Country | US
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Telephone | 910-640-0856
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Fax | 910-640-0858
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Provider Business Mailing Address
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Address Line | 1424 S JK POWELL BLVD SUITE E
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City | WHITEVILLE
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State | NC
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Zip | 28472-9167
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Country | US
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Telephone | 910-640-0856
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Fax | 910-640-0858
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Authorized Official
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Title or Position | DIRECTOR OF SERVICES
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Name | MRS. LYNNE EDWARDS
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Credential | RN
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Telephone | 910-640-0856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC2963
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License Number State | NC
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