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General NPI Number Information
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NPI Number | 1447353222
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Entity Type | Individual
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Provider Name | TRINA BIVENS M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 05/31/2018
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Provider Practice Location Address
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Address Line | COLLIN COUNTY DETENTION CENTER 4300 COMMUNITY AVENUE
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City | MCKINNEY
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State | TX
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Zip | 75071
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Country | US
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Telephone | 972-547-7260
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Fax | 972-547-5390
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Provider Business Mailing Address
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Address Line | COLLIN COUNTY DETENTION CENTER 4300 COMMUNITY AVENUE
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City | MCKINNEY
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State | TX
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Zip | 75071
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Country | US
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Telephone | 972-547-7260
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Fax | 972-547-5390
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | K3557
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License Number State | TX
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