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General NPI Number Information
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NPI Number | 1245285816
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Entity Type | Organization
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Legal Business Name | TRINITY HEALTH
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1321 W DAKOTA PKWY
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City | WILLISTON
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State | ND
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Zip | 58801-3807
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Country | US
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Telephone | 800-735-4926
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Fax | 701-774-0825
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Provider Business Mailing Address
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Address Line | PO BOX 5020
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City | MINOT
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State | ND
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Zip | 58702-5020
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Country | US
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Telephone | 701-857-5118
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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 | MR. JOHN M KUTCH
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Credential |
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Telephone | 701-418-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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