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General NPI Number Information
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NPI Number | 1912484890
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Entity Type | Organization
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Legal Business Name | TRILLIUM HOME CARE, LLC
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 2345 E THOMAS RD STE 201
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City | PHOENIX
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State | AZ
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Zip | 85016-7818
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Country | US
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Telephone | 602-956-1711
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Fax | 602-956-5232
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Provider Business Mailing Address
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Address Line | 2345 E THOMAS RD STE 201
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City | PHOENIX
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State | AZ
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Zip | 85016-7818
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Country | US
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Telephone | 602-956-1711
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Fax | 602-956-5232
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Authorized Official
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Title or Position | CEO
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Name | ROSEMARIE ANNE FRIEND
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Credential |
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Telephone | 602-956-1711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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