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General NPI Number Information
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NPI Number | 1083688022
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Entity Type | Individual
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Provider Name | ANTOLIN C TRINIDAD MD
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 152 WEST ST
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City | DANBURY
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State | CT
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Zip | 06810-6361
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Country | US
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Telephone | 203-791-5140
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Fax | 203-798-9200
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Provider Business Mailing Address
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Address Line | 152 WEST ST
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City | DANBURY
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State | CT
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Zip | 06810-6361
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Country | US
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Telephone | 203-791-5140
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Fax | 203-798-8959
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD32786
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101047901
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 53498
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License Number State | CT
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