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General NPI Number Information
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NPI Number | 1770533150
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Entity Type | Organization
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Legal Business Name | TRINITY CLINIC
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 534 S. BECKHAM
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City | TYLER
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State | TX
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Zip | 75702
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Country | US
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Telephone | 903-531-4051
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Fax | 903-324-6462
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Provider Business Mailing Address
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Address Line | PO BOX 5500
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City | TYLER
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State | TX
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Zip | 75712
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Country | US
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Telephone | 903-324-6400
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Fax | 903-324-6462
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Authorized Official
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Title or Position | VP OPERATIONS
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Name | LORETTA SWAN
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Credential |
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Telephone | 903-531-4051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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