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General NPI Number Information
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NPI Number | 1629950829
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Entity Type | Organization
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Legal Business Name | TRILLIUM HEALTH LLC
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 9808 MEDICAL CENTER DR UNIT 330
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City | ROCKVILLE
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State | MD
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Zip | 20850-4898
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Country | US
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Telephone | 888-261-2812
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Fax | 240-880-1940
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Provider Business Mailing Address
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Address Line | 9808 MEDICAL CENTER DR UNIT 330
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City | ROCKVILLE
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State | MD
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Zip | 20850-4898
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Country | US
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Telephone | 888-261-2812
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Fax | 240-880-1940
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Authorized Official
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Title or Position | CHIEF OF STAFF
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Name | LANE EDWARDS
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Credential |
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Telephone | 888-261-2812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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