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General NPI Number Information
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NPI Number | 1669321006
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Entity Type | Organization
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Legal Business Name | TRINITY PATH WELLNESS
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 7320 ROCKRIDGE RD
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City | JURUPA VALLEY
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State | CA
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Zip | 92509-5313
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Country | US
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Telephone | 424-285-9763
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Fax |
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Provider Business Mailing Address
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Address Line | 15348 CENTRAL AVE
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City | CHINO
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State | CA
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Zip | 91710-7658
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Country | US
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Telephone | 424-285-9763
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DANIEL JOSEPH COTTON
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Credential |
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Telephone | 424-285-9763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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