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General NPI Number Information
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NPI Number | 1700053121
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Entity Type | Organization
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Legal Business Name | TRINITY HEALTHCARE, INC.
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 10/04/2010
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Provider Practice Location Address
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Address Line | 114 E 10TH ST
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City | ROCHESTER
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State | IN
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Zip | 46975-1747
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Country | US
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Telephone | 574-223-4663
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Fax | 574-223-1663
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Provider Business Mailing Address
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Address Line | 114 E 10TH ST
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City | ROCHESTER
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State | IN
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Zip | 46975-1747
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Country | US
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Telephone | 574-223-4663
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Fax | 574-223-1663
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | KENNETH L FABUGAIS
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Credential | P.T.
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Telephone | 574-223-4663
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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 |
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License Number State |
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