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General NPI Number Information
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NPI Number | 1699400838
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Entity Type | Organization
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Legal Business Name | TRUST HOME HEALTHCARE
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Dates
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Enumeration Date | 07/21/2022
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 260 NORTHLAND BLVD
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City | SPRINGDALE
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State | OH
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Zip | 45246-4917
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Country | US
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Telephone | 763-221-1217
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Fax |
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Provider Business Mailing Address
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Address Line | 245 KNOLLRIDGE CT APT 102
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City | FAIRFIELD
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State | OH
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Zip | 45014-6582
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Country | US
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Telephone | 763-221-1217
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAOLA L BAKUENIA
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Credential |
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Telephone | 763-221-1217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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