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General NPI Number Information
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NPI Number | 1679395958
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Entity Type | Individual
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Provider Name | TRINISHA PERRY
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Gender | Female
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1815 S KANNER HWY
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City | STUART
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State | FL
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Zip | 34994-7204
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Country | US
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Telephone | 772-288-2992
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Fax | 772-288-2999
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Provider Business Mailing Address
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Address Line | 6649 WOODS ISLAND CIR APT 106
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-1479
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Country | US
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Telephone | 772-288-2992
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Fax | 772-288-2999
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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 | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | RN9397526
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License Number State | FL
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