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General NPI Number Information
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NPI Number | 1972223550
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Entity Type | Organization
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Legal Business Name | TRINITY MEDICAL CONSULTANTS PLLC
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Dates
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Enumeration Date | 09/01/2022
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 49175 WEST RD
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City | WIXOM
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State | MI
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Zip | 48393-3552
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Country | US
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Telephone | 248-487-8686
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Fax |
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Provider Business Mailing Address
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Address Line | 49175 WEST RD
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City | WIXOM
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State | MI
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Zip | 48393-3552
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Country | US
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Telephone | 248-487-8686
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASON A SETSUDA
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Credential | DO
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Telephone | 616-443-1765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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