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General NPI Number Information
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NPI Number | 1508689829
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Entity Type | Organization
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Legal Business Name | TRINITY EA PLLC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 933 ELDRIDGE RD
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City | SUGAR LAND
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State | TX
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Zip | 77478-2809
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Country | US
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Telephone | 281-242-6581
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Fax |
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Provider Business Mailing Address
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Address Line | 17424 W GRAND PKWY S STE 129
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City | SUGAR LAND
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State | TX
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Zip | 77479-2564
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARY MIRANDA GEORGE
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Credential | DDS
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Telephone | 281-242-6581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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