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General NPI Number Information
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NPI Number | 1376338236
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Entity Type | Individual
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Provider Name | TRINIA MITCHELL LMBT
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Gender | Female
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 7930 SKYLAND RIDGE PKWY STE 103
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City | RALEIGH
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State | NC
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Zip | 27617-6814
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Country | US
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Telephone | 919-342-0525
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 FIRTH RD
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City | DURHAM
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State | NC
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Zip | 27704-3267
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Country | US
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Telephone | 813-900-0905
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Fax |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 20155
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License Number State | NC
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