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General NPI Number Information
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NPI Number | 1053061739
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Entity Type | Individual
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Provider Name | ANTHONY TRINH MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2022
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 1212 E BEARSS AVE
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City | LUTZ
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State | FL
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Zip | 33549-3525
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Country | US
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Telephone | 813-397-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 224 NW 26TH PL
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City | CAPE CORAL
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State | FL
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Zip | 33993-6412
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Country | US
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Telephone | 408-355-8546
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME174208
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License Number State | FL
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