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General NPI Number Information
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NPI Number | 1720036841
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Entity Type | Organization
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Legal Business Name | TRINITY HOSPITAL LLC
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 5001 E MAIN ST
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City | ERIN
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State | TN
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Zip | 37061-4115
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Country | US
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Telephone | 931-289-4211
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Fax | 931-289-4337
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Provider Business Mailing Address
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Address Line | PO BOX 489 5001 E MAIN ST
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City | ERIN
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State | TN
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Zip | 37061-0489
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Country | US
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Telephone | 931-289-4211
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Fax | 931-289-4158
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Authorized Official
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Title or Position | CFO
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Name | SHANNON ALLISON
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Credential |
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Telephone | 931-289-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 0000000055
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License Number State | TN
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