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NPI 1629000146

NPI 1629000146 : FRANCISCO TRILLA MD : PROVIDENCE, RI

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General NPI Number Information
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    NPI Number           |    1629000146
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    Entity Type          |    Individual 
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    Provider Name        |    FRANCISCO TRILLA MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/07/2006
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    Last Update Date     |    04/26/2021
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Provider Practice Location Address
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    Address Line         |    299 PROMENADE ST 
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02908
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    Country              |    US
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    Telephone            |    617-901-9702
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    200 EXCHANGE ST #1413
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02903-2621
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    Country              |    US
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    Telephone            |    617-901-9702
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    53419
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    MD14408
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    License Number State |    RI
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