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General NPI Number Information
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NPI Number | 1104748672
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Entity Type | Individual
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Provider Name | TRINITA LAFAYE MILLS-ROSS LPN
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Gender | Female
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 1510 COMMERCIAL PARK DR
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City | LAKELAND
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State | FL
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Zip | 33801-6569
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Country | US
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Telephone | 863-345-8090
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Fax | 863-606-0146
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Provider Business Mailing Address
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Address Line | 37075 COLEMAN AVE
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City | DADE CITY
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State | FL
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Zip | 33525-4530
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Country | US
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Telephone | 863-345-8090
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Fax | 863-606-0146
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 5252647
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License Number State | FL
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