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General NPI Number Information
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NPI Number | 1578450706
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Entity Type | Organization
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Legal Business Name | TRILLIUM HEALTH, INC
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 924 JEFFERSON AVE
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City | ROCHESTER
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State | NY
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Zip | 14611-3702
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Country | US
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Telephone | 585-545-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 259 MONROE AVE STE 100
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City | ROCHESTER
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State | NY
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Zip | 14607-3632
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Country | US
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Telephone | 585-545-7200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | JASON BARNECUT-KEARNS
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Credential |
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Telephone | 585-210-4138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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