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General NPI Number Information
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NPI Number | 1174705545
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Entity Type | Organization
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Legal Business Name | MICHAEL A. TRAINOR, D.O., P.C.
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 3655 CROSSINGS DR
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City | PRESCOTT
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State | AZ
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Zip | 86305-7101
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Country | US
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Telephone | 928-778-9250
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Fax | 928-778-2306
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Provider Business Mailing Address
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Address Line | 3655 CROSSINGS DR
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City | PRESCOTT
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State | AZ
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Zip | 86305-7101
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Country | US
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Telephone | 928-778-9250
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Fax | 928-778-2306
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Authorized Official
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Title or Position | ORTHOPAEDIC SURGEON
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Name | DR. MICHAEL A TRAINOR
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Credential | DO
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Telephone | 928-778-9250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 4039
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License Number State | AZ
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