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General NPI Number Information
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NPI Number | 1376946269
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Entity Type | Individual
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Provider Name | GIOVANNI TRIMBLE LMFT
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Gender | Male
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Dates
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Enumeration Date | 10/06/2014
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 4180 RUFFIN RD
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City | SAN DIEGO
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State | CA
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Zip | 92123-1865
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Country | US
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Telephone | 760-509-3379
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Fax |
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Provider Business Mailing Address
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Address Line | 340 S LEMON AVE STE 9596
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City | WALNUT
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State | CA
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Zip | 91789-2706
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Country | US
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Telephone | 909-315-2894
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT107074
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License Number State | CA
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