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General NPI Number Information
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NPI Number | 1992002158
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Entity Type | Organization
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Legal Business Name | TRINITY HEALTHCARE OF NORTH CAROLINA
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Dates
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Enumeration Date | 02/23/2011
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Last Update Date | 11/13/2011
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Provider Practice Location Address
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Address Line | 401 W 1ST ST STE 1H
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City | GREENVILLE
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State | NC
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Zip | 27834-1905
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Country | US
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Telephone | 252-364-8966
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Fax | 252-364-8967
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Provider Business Mailing Address
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Address Line | 401 W 1ST ST STE 1H
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City | GREENVILLE
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State | NC
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Zip | 27834-1905
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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 | CHIEF OPERATING OFFICER
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Name | DESMOND C HALL
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Credential |
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Telephone | 252-364-8966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC4323
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License Number State | NC
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