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General NPI Number Information
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NPI Number | 1366629024
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Entity Type | Organization
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Legal Business Name | CESAR D TRIVINO MD PA
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 10/07/2009
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Provider Practice Location Address
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Address Line | 200 S MCGEE ST ANESTHESIA SUITE
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City | BORGER
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State | TX
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Zip | 79007-4022
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Country | US
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Telephone | 806-275-9064
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Fax |
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Provider Business Mailing Address
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Address Line | 304 LOMA LINDA LN STE 100
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City | BORGER
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State | TX
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Zip | 79007-8500
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Country | US
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Telephone | 806-275-9064
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CESAR DAVID TRIVINO
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Credential | MD
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Telephone | 806-275-9064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | L5592
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License Number State | TX
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