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General NPI Number Information
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NPI Number | 1790641132
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Entity Type | Organization
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Legal Business Name | TRINITY PEDIATRICS LLC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 104 HIGHLAND PARK PLZ
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City | COVINGTON
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State | LA
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Zip | 70433-7116
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Country | US
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Telephone | 985-282-4535
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Fax | 985-244-8667
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Provider Business Mailing Address
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Address Line | 836 SAND FOX RUN
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City | MADISONVILLE
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State | LA
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Zip | 70447-3144
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Country | US
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Telephone | 985-282-4535
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Fax | 985-244-8667
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | MRS. MEREDITH GREMBOWICZ
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Credential | MD
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Telephone | 985-869-5675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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