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General NPI Number Information
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NPI Number | 1235526153
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Entity Type | Organization
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Legal Business Name | TRINIDAD PROFESSIONAL SERVICES INC
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Dates
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Enumeration Date | 04/17/2015
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Last Update Date | 04/17/2015
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Provider Practice Location Address
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Address Line | D16 CALLE 2 URB LA PLANICIE
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City | CAYEY
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State | PR
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Zip | 00736
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Country | US
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Telephone | 787-263-7459
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Fax | 787-535-5551
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Provider Business Mailing Address
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Address Line | PO BOX 3264
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City | CAYEY
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State | PR
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Zip | 00736
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Country | US
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Telephone | 787-263-7459
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Fax |
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Authorized Official
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Title or Position | MD
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Name | MARTA TRINIDAD
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Credential |
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Telephone | 787-263-7459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 10263
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License Number State | PR
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