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General NPI Number Information
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NPI Number | 1760431381
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Entity Type | Organization
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Legal Business Name | TRINITY CARE & SUPPORT SERVICES,LLC
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4921 PALMETTO DR
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City | FORT PIERCE
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State | FL
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Zip | 34982-7168
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Country | US
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Telephone | 772-595-6277
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Fax | 772-595-8886
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Provider Business Mailing Address
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Address Line | 4921 PALMETTO DR
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City | FORT PIERCE
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State | FL
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Zip | 34982-7168
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Country | US
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Telephone | 772-595-6277
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Fax | 772-595-8886
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Authorized Official
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Title or Position | CEO
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Name | SHEREEN E WIGHARD
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Credential |
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Telephone | 772-595-6277
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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 | FL
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