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General NPI Number Information
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NPI Number | 1972637486
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Entity Type | Organization
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Legal Business Name | TRINITYCARE INFUSION SERVICES
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 9221 CORBIN AVE STE 190
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City | NORTHRIDGE
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State | CA
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Zip | 91324-1600
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Country | US
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Telephone | 818-700-5565
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Fax | 818-407-0991
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Provider Business Mailing Address
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Address Line | 9221 CORBIN AVE SUITE 190
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City | NORTHRIDGE
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State | CA
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Zip | 91324-2483
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Country | US
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Telephone | 818-700-5565
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Fax | 818-407-0991
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | LAINEY KIM
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Credential |
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Telephone | 818-700-5565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | PHY46033
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License Number State | CA
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