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General NPI Number Information
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NPI Number | 1316392368
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Entity Type | Individual
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Provider Name | ERIC QUANG DAO TRINH MD
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Gender | Male
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Dates
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Enumeration Date | 04/27/2016
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 1308 SHERWOOD AVE
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City | RICHMOND
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State | VA
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Zip | 23220-1210
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Country | US
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Telephone | 804-828-3103
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Fax |
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Provider Business Mailing Address
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Address Line | 520 W 14TH ST APT 124
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City | RICHMOND
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State | VA
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Zip | 23224-2154
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Country | US
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Telephone | 267-987-4977
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Fax |
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 0101269340
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License Number State | VA
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