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General NPI Number Information
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NPI Number | 1972908069
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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 | 10/31/2014
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 147 PUTNAM PARKWAY
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City | OTTAWA
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State | OH
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Zip | 45875
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Country | US
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Telephone | 419-523-4092
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Fax | 419-523-0021
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Provider Business Mailing Address
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Address Line | PO BOX 221648
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City | LOUISVILLE
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State | KY
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Zip | 40252-1648
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Country | US
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Telephone | 502-412-5847
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Fax |
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Authorized Official
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Title or Position | EVP & CLO
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Name | MRS. 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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