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General NPI Number Information
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NPI Number | 1326582016
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Entity Type | Organization
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Legal Business Name | TRINITY HEALTH AND FAMILY PRACTICE, PLLC
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Dates
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Enumeration Date | 12/14/2016
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Last Update Date | 12/14/2016
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Provider Practice Location Address
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Address Line | 19143 TIMBER FOREST DR
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City | HUMBLE
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State | TX
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Zip | 77346-1875
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Country | US
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Telephone | 281-454-7777
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19853
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City | BELFAST
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State | ME
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Zip | 04915-4093
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Country | US
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Telephone | 281-454-7777
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Fax |
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Authorized Official
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Title or Position | OWNER/MD
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Name | CASEY MCCAIN
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Credential | MD
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Telephone | 281-454-7777
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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 | N8545
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License Number State | TX
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