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General NPI Number Information
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NPI Number | 1053475681
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Entity Type | Individual
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Provider Name | MARIA L. TRINIDAD D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 8338 N LOOP 1604 W STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78249-3482
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Country | US
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Telephone | 210-877-9100
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Fax | 518-869-1965
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Provider Business Mailing Address
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Address Line | 8338 N LOOP 1604 W STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78249-3482
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Country | US
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Telephone | 210-877-9100
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Fax | 214-292-6545
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 050222
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 38189
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License Number State | TX
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