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General NPI Number Information
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NPI Number | 1306647045
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Entity Type | Individual
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Provider Name | LILIAN TRIFENA NP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 08/30/2026
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Provider Practice Location Address
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Address Line | 271 W SOUTHLAKE BLVD
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City | SOUTHLAKE
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State | TX
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Zip | 76092-7049
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Country | US
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Telephone | 972-433-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 14275 MIDWAY RD STE 200
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City | ADDISON
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State | TX
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Zip | 75001-3618
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Country | US
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Telephone | 972-860-1713
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Fax | 972-812-9624
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1031519
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License Number State | TX
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