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General NPI Number Information
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NPI Number | 1235594938
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Entity Type | Individual
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Provider Name | LINDA THI TRINH O.D.
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Gender | Female
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 9780 W NORTHERN AVE STE 1120
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City | PEORIA
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State | AZ
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Zip | 85345-4607
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Country | US
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Telephone | 623-877-0701
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Fax |
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Provider Business Mailing Address
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Address Line | 9780 W NORTHERN AVE STE 1120
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City | PEORIA
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State | AZ
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Zip | 85345-4607
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Country | US
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Telephone | 623-877-0701
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Fax | 623-877-8405
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2099
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | #2099
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License Number State | AZ
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