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General NPI Number Information
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NPI Number | 1700801396
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Entity Type | Organization
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Legal Business Name | TRENTON MEDICAL CENTER, INC
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 1830 N MAIN ST
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City | BELL
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State | FL
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Zip | 32619-4713
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Country | US
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Telephone | 352-463-0400
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Fax | 352-463-9062
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Provider Business Mailing Address
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Address Line | 23343 NW COUNTY ROAD 236
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City | HIGH SPRINGS
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State | FL
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Zip | 32643-9669
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Country | US
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Telephone | 386-454-0698
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Fax | 386-454-0690
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Authorized Official
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Title or Position | CEO
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Name | ANITA REMBERT
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Credential |
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Telephone | 386-454-0698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | PH18427
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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