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NPI 1760277974

NPI 1760277974 : PAIGE TRENTMAN NNP : MIAMISBURG, OH

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General NPI Number Information
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    NPI Number           |    1760277974
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    Entity Type          |    Individual 
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    Provider Name        |    PAIGE TRENTMAN NNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/10/2025
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    Last Update Date     |    09/24/2025
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Provider Practice Location Address
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    Address Line         |    2147 CARLOWAY CT 
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    City                 |    MIAMISBURG
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    State                |    OH
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    Zip                  |    45342-6749
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    Country              |    US
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    Telephone            |    937-546-3770
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2147 CARLOWAY CT 
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    City                 |    MIAMISBURG
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    State                |    OH
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    Zip                  |    45342-6749
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    Country              |    US
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    Telephone            |    
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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        |    363LN0000X
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    Taxonomy Name        |    Neonatal Nurse Practitioner
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    License Number       |    5022703
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    163WN0002X
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    Taxonomy Name        |    Neonatal Intensive Care Registered Nurse
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    License Number       |    041556761
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    163WN0002X
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    Taxonomy Name        |    Neonatal Intensive Care Registered Nurse
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    License Number       |    501361
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    License Number State |    OH
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