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NPI 1477643856

NPI 1477643856 : DARSHAN GHANSHYAMBHAI TRIVEDI M.D.F.A.A.P : TRINITY, FL

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General NPI Number Information
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    NPI Number           |    1477643856
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    Entity Type          |    Individual 
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    Provider Name        |    DARSHAN GHANSHYAMBHAI TRIVEDI M.D.F.A.A.P
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/13/2006
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    Last Update Date     |    12/19/2025
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Provider Practice Location Address
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    Address Line         |    10710 STATE ROAD 54 STE 108 
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    City                 |    TRINITY
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    State                |    FL
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    Zip                  |    34655-2263
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    Country              |    US
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    Telephone            |    727-376-4040
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    Fax                  |    727-376-8824
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Provider Business Mailing Address
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    Address Line         |    10710 STATE ROAD 54 STE 108 
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    City                 |    TRINITY
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    State                |    FL
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    Zip                  |    34655-2263
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    Country              |    US
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    Telephone            |    727-376-4040
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    Fax                  |    845-333-6501
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    125080
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    License Number State |    FL
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