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General NPI Number Information
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NPI Number | 1891381380
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Entity Type | Organization
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Legal Business Name | TRINOR CARE LLC
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 12/18/2020
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Provider Practice Location Address
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Address Line | 3600 W DUBLIN ST
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City | CHANDLER
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State | AZ
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Zip | 85226-5911
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Country | US
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Telephone | 480-203-5047
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 W DUBLIN ST
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City | CHANDLER
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State | AZ
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Zip | 85226-5911
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Country | US
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Telephone | 480-203-5047
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/CEO
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Name | MR. HENRY IKECHUKWU IBEH
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Credential |
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Telephone | 480-203-5047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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License Number |
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License Number State |
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