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General NPI Number Information
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NPI Number | 1548111487
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Entity Type | Organization
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Legal Business Name | DE TRINITY PM HEALTH
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 2600 GLASGOW AVE STE 104
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City | NEWARK
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State | DE
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Zip | 19702-5703
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Country | US
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Telephone | 302-520-6671
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Fax | 302-617-2636
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Provider Business Mailing Address
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Address Line | 2600 GLASGOW AVE STE 104
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City | NEWARK
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State | DE
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Zip | 19702-5703
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Country | US
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Telephone | 302-520-6671
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Fax | 302-617-2636
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Authorized Official
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Title or Position | OWNER
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Name | ADEBOLA RITA USUAH
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Credential | FNP, PMHNP
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Telephone | 410-398-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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