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General NPI Number Information
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NPI Number | 1730795600
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Entity Type | Organization
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Legal Business Name | TRIAGE HEALTHCARE INC
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 2014 30TH ST SUITE 201
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City | SAN DIEGO
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State | CA
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Zip | 92104-5502
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Country | US
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Telephone | 202-629-8901
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Fax |
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Provider Business Mailing Address
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Address Line | 2014 30TH ST., SUITE 201
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City | SAN DIEGO
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State | CA
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Zip | 92104
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Country | US
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Telephone | 201-629-8901
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | MELISSA GIVENS
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Credential | MD
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Telephone | 202-629-8901
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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