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General NPI Number Information
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NPI Number | 1003029232
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Entity Type | Organization
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Legal Business Name | DR TUYEN T TRINH, D.O.,PLLC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 118 BAXTER ST ROOM 502
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City | NEW YORK
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State | NY
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Zip | 10013-3602
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Country | US
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Telephone | 212-233-6662
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Fax | 212-233-6663
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Provider Business Mailing Address
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Address Line | 118 BAXTER ST ROOM 502
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City | NEW YORK
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State | NY
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Zip | 10013-3602
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Country | US
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Telephone | 212-233-6662
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Fax | 212-233-6663
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TUYEN T TRINH
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Credential | D.O
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Telephone | 212-233-6662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 204862
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License Number State | NY
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