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NPI Code Detail

MEDICARE: PAUL TRIVINO

MEDICARE: PAUL TRIVINO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1548190374
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL TRIVINO
Provider Business Mailing Address
First Line : 1865 N RIDGE RD E
Second Line :
City : LORAIN
State : OH
Zip : 44055-3300
Country : US
Telephone Number : 440-324-5701
Fax Number :
Provider Business Practice Location Address
First Line : 1865 N RIDGE RD E
Second Line :
City : LORAIN
State : OH
Zip : 44055-3300
Country : US
Telephone Number : 440-324-5701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2026
Last Update Date : 05/22/2026

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Directions to “ PAUL TRIVINO ” Practice Location

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