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General NPI Number Information
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NPI Number | 1881091940
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Entity Type | Organization
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Legal Business Name | TRINITY FAMILY HEALTH CARE, LLC
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 55 N BOLTON ST
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City | ROMNEY
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State | WV
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Zip | 26757-1635
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Country | US
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Telephone | 304-359-2245
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Fax | 304-359-2259
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Provider Business Mailing Address
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Address Line | PO BOX 115
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City | ROMNEY
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State | WV
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Zip | 26757-0115
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Country | US
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Telephone | 304-359-2245
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Fax | 304-359-2259
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | MR. CHAD T HOTT
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Credential | APRN, FNP
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Telephone | 304-359-2245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 57763
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License Number State | WV
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