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General NPI Number Information
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NPI Number | 1346052842
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Entity Type | Organization
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Legal Business Name | TRITON MEDICAL GROUP, LLC
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 2001 W SAMPLE RD STE 404
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City | DEERFIELD BEACH
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State | FL
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Zip | 33064
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Country | US
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Telephone | 954-773-8313
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 W SAMPLE RD STE 404
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City | DEERFIELD BEACH
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State | FL
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Zip | 33064
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Country | US
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Telephone | 954-773-8313
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MR. JOSEPH COHEN
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Credential |
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Telephone | 954-773-8313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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