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General NPI Number Information
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NPI Number | 1053678300
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Entity Type | Organization
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Legal Business Name | TERENCE A TRINKA O.D. PC
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 26689 PLEASANT PARK RD
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City | CONIFER
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State | CO
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Zip | 80433-7703
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Country | US
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Telephone | 303-838-9355
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Fax | 303-838-9526
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Provider Business Mailing Address
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Address Line | 26689 PLEASANT PARK RD
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City | CONIFER
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State | CO
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Zip | 80433-7703
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Country | US
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Telephone | 303-838-9355
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Fax | 303-838-9526
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Authorized Official
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Title or Position | OWNER
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Name | DR. TERENCE A TRINKA
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Credential | O.D.
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Telephone | 303-838-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1187
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License Number State | CO
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