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General NPI Number Information
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NPI Number | 1477416303
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Entity Type | Organization
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Legal Business Name | TRINITY PEDIATRICS LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 7228 MEDICAL CENTER DRIVE
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City | TEXAS CITY
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State | TX
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Zip | 77591
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Country | US
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Telephone | 786-246-5065
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Fax |
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Provider Business Mailing Address
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Address Line | 7228 MEDICAL CENTER DRIVE
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City | TEXAS CITY
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State | TX
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Zip | 77591
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Country | US
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Telephone | 786-246-5065
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. SHAMIYAAZ JAUHARI
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Credential | PA-C
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Telephone | 786-246-5065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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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 | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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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 | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State |
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