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General NPI Number Information
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NPI Number | 1033068838
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Entity Type | Organization
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Legal Business Name | TREYSONS AUSOME FOUNDATION
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Dates
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Enumeration Date | 01/24/2026
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Last Update Date | 01/24/2026
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Provider Practice Location Address
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Address Line | 610 S YELLOW SPRINGS ST
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City | SPRINGFIELD
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State | OH
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Zip | 45506-2068
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Country | US
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Telephone | 937-360-8470
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Fax |
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Provider Business Mailing Address
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Address Line | 610 S YELLOW SPRINGS ST
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City | SPRINGFIELD
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State | OH
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Zip | 45506-2068
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Country | US
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Telephone | 937-360-8470
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Fax |
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Authorized Official
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Title or Position | FOUNDER/VICE PRESIDENT
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Name | MRS. NICOLE A QUINTERO
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Credential | QUINTERO
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Telephone | 937-360-8470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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