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General NPI Number Information
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NPI Number | 1740319011
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Entity Type | Organization
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Legal Business Name | TRI 3 ENTERPRISES, LLC
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 11/17/2008
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Provider Practice Location Address
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Address Line | 2346 S LYNHURST DR SUITE 501
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City | INDIANAPOLIS
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State | IN
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Zip | 46241-8621
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Country | US
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Telephone | 317-248-3916
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Fax |
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Provider Business Mailing Address
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Address Line | 950 N RAND RD SUITE 121
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City | WAUCONDA
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State | IL
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Zip | 60084-1197
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Country | US
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Telephone | 888-847-6903
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Fax | 847-526-3379
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Authorized Official
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Title or Position | MEMBER
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Name | MIKE WILFORD
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Credential |
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Telephone | 847-307-5236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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