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General NPI Number Information
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NPI Number | 1528584810
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Entity Type | Organization
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Legal Business Name | TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 1500 LANSDOWNE AVE
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City | DARBY
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State | PA
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Zip | 19023-1200
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Country | US
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Telephone | 610-237-4210
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Fax | 610-237-4214
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Provider Business Mailing Address
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Address Line | 41 UNIVERSITY DR STE 300
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City | NEWTOWN
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State | PA
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Zip | 18940-1873
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Country | US
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Telephone | 734-343-2654
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Fax |
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Authorized Official
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Title or Position | VP, FINANCE AND CFO
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Name | JULIE KEESE
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Credential |
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Telephone | 301-754-7201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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