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General NPI Number Information
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NPI Number | 1891747036
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Entity Type | Organization
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Legal Business Name | TRILOGY HEALTHCARE OF PUTNAM II, LLC
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 575 OTTAWA GLANDORF RD
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City | OTTAWA
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State | OH
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Zip | 45875-9426
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Country | US
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Telephone | 419-538-6529
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Fax | 419-538-6520
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Provider Business Mailing Address
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Address Line | 575 OTTAWA GLANDORF RD
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City | OTTAWA
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State | OH
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Zip | 45875-9426
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Country | US
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Telephone | 419-538-6529
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Fax | 419-538-6520
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Authorized Official
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Title or Position | EVP/CLO
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Name | CRISTINA PIETROWSKI
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Credential |
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Telephone | 502-213-7572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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