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General NPI Number Information
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NPI Number | 1518845205
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Entity Type | Organization
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Legal Business Name | TRINITY COUNTY
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 701 TOM BELL RD
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City | WEAVERVILLE
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State | CA
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Zip | 96093
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Country | US
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Telephone | 530-623-8124
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1119
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City | WEAVERVILLE
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State | CA
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Zip | 96093-1119
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Country | US
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Telephone | 530-623-8124
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE SERVICES OFFICER
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Name | JILL LYNN
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Credential |
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Telephone | 530-623-8265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number |
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License Number State |
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