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General NPI Number Information
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NPI Number | 1851651350
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Entity Type | Organization
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Legal Business Name | TRINITY COMMUNITY SERVICES LLC
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 05/18/2012
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Provider Practice Location Address
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Address Line | 26493 RAY JONES RD
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City | FRANKLINTON
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State | LA
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Zip | 70438-5245
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Country | US
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Telephone | 985-515-8198
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Fax |
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Provider Business Mailing Address
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Address Line | 26493 RAY JONES RD
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City | FRANKLINTON
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State | LA
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Zip | 70438-5245
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Country | US
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Telephone | 985-515-8198
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS LATOYA GARRETT
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Credential |
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Telephone | 985-515-8198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 40773625K
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License Number State | LA
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