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General NPI Number Information
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NPI Number | 1053238691
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Entity Type | Individual
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Provider Name | JAY TRENHALE LP
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Gender | Male
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Dates
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Enumeration Date | 07/03/2026
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Last Update Date | 07/03/2026
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Provider Practice Location Address
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Address Line | 1619 CYPRESS POINT CIR
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City | BROOKINGS
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State | SD
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Zip | 57006-5451
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Country | US
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Telephone | 320-634-6599
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Fax |
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Provider Business Mailing Address
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Address Line | 306 4TH ST # 113
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City | BROOKINGS
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State | SD
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Zip | 57006-1948
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Country | US
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Telephone | 320-634-6599
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 386383
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 394
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License Number State | SD
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