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General NPI Number Information
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NPI Number | 1619830502
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Entity Type | Organization
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Legal Business Name | TRIANA INTERNAL MEDICINE, LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/14/2025
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Provider Practice Location Address
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Address Line | 9401 FOUNTAIN MEDICAL CT STE 101
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4612
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Country | US
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Telephone | 239-989-1179
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Fax |
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Provider Business Mailing Address
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Address Line | 9401 FOUNTAIN MEDICAL CT STE 101
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4612
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Country | US
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Telephone | 239-989-1179
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. JASON TRIANA
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Credential | MD
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Telephone | 239-989-1179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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