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General NPI Number Information
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NPI Number | 1992618243
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Entity Type | Organization
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Legal Business Name | TRINITY MEDICAL RESTORATIVE CLINIC, LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 6876 SILVER STAR RD FL 32818
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City | ORLANDO
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State | FL
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Zip | 32818-3193
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Country | US
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Telephone | 407-237-7996
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Fax | 407-237-7996
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Provider Business Mailing Address
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Address Line | 1746 E SILVER STAR RD STE 569
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City | OCOEE
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State | FL
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Zip | 34761-7014
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Country | US
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Telephone | 407-237-7996
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Fax | 407-237-7996
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Authorized Official
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Title or Position | OWNER
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Name | MISS MIRLANDE LOUIS
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Credential | CHIROPRACTICP.ASSIST
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Telephone | 407-237-7996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | NULL
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