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General NPI Number Information
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NPI Number | 1083529382
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Entity Type | Organization
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Legal Business Name | TRISKELION LLC
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 1036 MCCUTCHEON RD
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City | LAKE CITY
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State | SC
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Zip | 29560-5616
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Country | US
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Telephone | 508-454-1822
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Fax | 843-790-1878
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Provider Business Mailing Address
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Address Line | 1036 MCCUTCHEON RD
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City | LAKE CITY
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State | SC
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Zip | 29560-5616
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Country | US
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Telephone | 508-454-1822
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Fax | 843-790-1878
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Authorized Official
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Title or Position | FMP
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Name | MS. ARAN COLLEEN INGHAM
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Credential | APRN
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Telephone | 508-454-1822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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