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General NPI Number Information
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NPI Number | 1396516480
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Entity Type | Individual
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Provider Name | BORIS LUIS TRIMINO PA
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Gender | Male
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 3255 FOREST HILL BLVD STE 103
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5854
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Country | US
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Telephone | 561-964-4577
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Fax |
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Provider Business Mailing Address
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Address Line | 4142 W OREGON AVE
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City | PHOENIX
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State | AZ
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Zip | 85019-2225
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Country | US
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Telephone | 480-749-3451
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2018
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PACN16
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License Number State | FL
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