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General NPI Number Information
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NPI Number | 1982257853
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Entity Type | Organization
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Legal Business Name | TREND HEALTH & REHAB OF MERIDIAN LLC
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Dates
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Enumeration Date | 07/19/2019
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Last Update Date | 07/19/2019
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Provider Practice Location Address
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Address Line | 517 33RD ST
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City | MERIDIAN
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State | MS
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Zip | 39305-3944
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Country | US
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Telephone | 601-499-0899
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Fax | 601-499-0897
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Provider Business Mailing Address
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Address Line | 125 FOUNTAINS BLVD
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City | MADISON
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State | MS
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Zip | 39110-6344
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Country | US
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Telephone | 601-499-0899
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Fax | 601-499-0897
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. CHARLES BRUCE KELLY
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Credential |
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Telephone | 601-499-0899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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