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General NPI Number Information
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NPI Number | 1689175010
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Entity Type | Organization
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Legal Business Name | TLC COMPANIONS OF TRINITY
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Dates
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Enumeration Date | 02/21/2018
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Last Update Date | 02/21/2018
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Provider Practice Location Address
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Address Line | 1805 CYPRESS BROOK DR
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City | TRINITY
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State | FL
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Zip | 34655-4417
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Country | US
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Telephone | 727-312-4429
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Fax | 727-312-3745
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Provider Business Mailing Address
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Address Line | 1805 CYPRESS BROOK DR
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City | TRINITY
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State | FL
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Zip | 34655-4417
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Country | US
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Telephone | 727-312-4429
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Fax | 727-312-3745
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DAWN ROBINSON
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Credential |
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Telephone | 727-312-4429
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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 | 235048
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License Number State | FL
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