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General NPI Number Information
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NPI Number | 1871711911
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Entity Type | Individual
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Provider Name | JASON TRIANA M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 9500 BONITA BEACH RD SE STE 201
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4683
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Country | US
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Telephone | 239-319-2195
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Fax | 239-319-2194
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Provider Business Mailing Address
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Address Line | 9401 FOUNTAIN MEDICAL CT STE 101
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4612
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Country | US
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Telephone | 239-989-1179
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME116743
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License Number State | FL
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