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General NPI Number Information
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NPI Number | 1538664669
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Entity Type | Individual
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Provider Name | TRIXIE LORRAINE CRUZ PEI MD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 3230 BEARD RD STE 2537005
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City | NAPA
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State | CA
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Zip | 94558-3673
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Country | US
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Telephone | 707-253-7005
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Fax | 707-253-7271
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Provider Business Mailing Address
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Address Line | 3230 BEARD RD STE 1
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City | NAPA
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State | CA
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Zip | 94558-3659
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Country | US
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Telephone | 707-253-7005
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Fax | 707-253-7271
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A184644
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License Number State | CA
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