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General NPI Number Information
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NPI Number | 1649629106
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Entity Type | Individual
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Provider Name | JAMIE L TRENHOLM
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Gender | Female
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 3419 VALLE VERDE DR
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City | NAPA
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State | CA
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Zip | 94558-2414
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Country | US
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Telephone | 707-721-2060
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Fax |
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Provider Business Mailing Address
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Address Line | 220 PERTH AVE
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4625
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Country | US
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Telephone | 906-204-4368
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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