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General NPI Number Information
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NPI Number | 1700821493
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Entity Type | Organization
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Legal Business Name | TRINITY WOODS
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 4134 E 31ST ST
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City | TULSA
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State | OK
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Zip | 74135-1511
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Country | US
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Telephone | 918-743-2565
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Fax | 918-743-1174
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Provider Business Mailing Address
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Address Line | 4134 E 31ST ST
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City | TULSA
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State | OK
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Zip | 74135-1511
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Country | US
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Telephone | 918-743-2565
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Fax | 918-743-1174
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Authorized Official
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Title or Position | VICE PRESIDENT OF HEALTH SERVICES
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Name | JACOB WILL
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Credential |
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Telephone | 918-346-6625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL7226-7226
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number | NH7218-7218
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | NH7218-7218
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NH72187218
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License Number State | OK
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Taxonomy #5
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NH7218-7218
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License Number State | OK
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