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General NPI Number Information
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NPI Number | 1356423396
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Entity Type | Individual
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Provider Name | KIM ANH TRINH M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 11420 WARNER AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2529
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Country | US
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Telephone | 714-549-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 2742 DOW AVE
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City | TUSTIN
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State | CA
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Zip | 92780-7242
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Country | US
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Telephone | 714-665-1600
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A87296
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License Number State | CA
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