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General NPI Number Information
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NPI Number | 1487722377
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Entity Type | Individual
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Provider Name | GERARDO DUMLAO TRINIDAD M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1729 KINNEYS LN STE 102
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3166
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Country | US
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Telephone | 740-351-0980
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Fax | 740-351-0021
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Provider Business Mailing Address
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Address Line | PO BOX 2379
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City | ASHLAND
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State | KY
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Zip | 41105-2379
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Country | US
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Telephone | 606-408-4000
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 35075500
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License Number State | OH
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