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General NPI Number Information
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NPI Number | 1699655688
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Entity Type | Organization
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Legal Business Name | TRINITY PSYCHIATRIC AND ADDICTION REHABILITATION CENTER INC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1818 NEW YORK AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20002-1848
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Country | US
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Telephone | 202-704-1090
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 48021
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City | WASHINGTON
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State | DC
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Zip | 20002-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSEPHUS IDOWU
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Credential |
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Telephone | 202-704-1090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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