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General NPI Number Information
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NPI Number | 1114138757
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Entity Type | Organization
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Legal Business Name | TRINITAS REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 655 LIVINGSTON AVENUE TRINITAS HIV CLINC
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City | ELIZABETH
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State | NJ
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Zip | 07206
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Country | US
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Telephone | 908-994-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 655 LIVINGSTON AVENUE TRINITAS HIV CLINC
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City | ELIZABETH
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State | NJ
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Zip | 07206
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Country | US
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Telephone | 908-994-5000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | NANCY DILIEGRO
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Credential |
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Telephone | 908-994-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 1052
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License Number State | NJ
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