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General NPI Number Information
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NPI Number | 1770352981
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Entity Type | Organization
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Legal Business Name | TRINITY HOSPITAL TWIN CITY
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 340 OXFORD ST STE 200, 220
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City | DOVER
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State | OH
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Zip | 44622-1965
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Country | US
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Telephone | 330-440-0715
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Fax |
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Provider Business Mailing Address
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Address Line | 819 N 1ST ST
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City | DENNISON
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State | OH
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Zip | 44621-1003
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Country | US
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Telephone | 740-922-7450
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DWAYNE RICHARDSON
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Credential | MSN, BSN, RN
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Telephone | 740-922-7450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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