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General NPI Number Information
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NPI Number | 1982522322
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Entity Type | Organization
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Legal Business Name | TRINITY INTEGRATED HEALTHCARE
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 2702 N 3RD ST STE 3000
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City | PHOENIX
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State | AZ
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Zip | 85004-4607
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Country | US
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Telephone | 480-589-6692
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Fax |
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Provider Business Mailing Address
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Address Line | 2702 N 3RD ST STE 2005
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City | PHOENIX
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State | AZ
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Zip | 85004-4606
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLEMENT AGBOOLA
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Credential |
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Telephone | 480-589-6992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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