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General NPI Number Information
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NPI Number | 1457405938
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Entity Type | Individual
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Provider Name | RENEE LASHAWN TRIMBLE LPC
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 04/28/2010
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Provider Practice Location Address
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Address Line | 502 KEARNY AVE MESQUITE VET CENTER
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City | MESQUITE
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State | TX
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Zip | 75149-0001
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Country | US
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Telephone | 214-857-1254
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Fax |
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Provider Business Mailing Address
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Address Line | 502 W KEARNEY ST STE 300
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City | MESQUITE
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State | TX
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Zip | 75149-3401
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Country | US
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Telephone | 910-229-7525
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5008
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License Number State | NC
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