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General NPI Number Information
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NPI Number | 1407768187
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Entity Type | Organization
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Legal Business Name | TRINITY DIRECT PRIMARY CARE PLLC
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 167 ACADEMY ST STE B
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City | PRESQUE ISLE
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State | ME
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Zip | 04769-3167
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Country | US
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Telephone | 207-687-1486
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Fax | 207-209-6780
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Provider Business Mailing Address
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Address Line | 167 ACADEMY ST STE B
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City | PRESQUE ISLE
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State | ME
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Zip | 04769-3167
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Country | US
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Telephone | 207-687-1486
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Fax | 207-209-6780
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | JUDITH M PIMENTAL
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Credential | MSN FNP-C
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Telephone | 207-687-1486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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