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General NPI Number Information
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NPI Number | 1538791504
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Entity Type | Individual
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Provider Name | VINCENT TRINIDAD NP-C
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Gender | Male
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Dates
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Enumeration Date | 02/07/2020
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Last Update Date | 03/05/2020
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Provider Practice Location Address
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Address Line | ONE ROBERT WOOD JOHNSON PLACE MEDICAL EDUCATION BUILDING -2ND FLOOR
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-0890
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Country | US
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Telephone | 908-685-3732
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Fax |
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Provider Business Mailing Address
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Address Line | 2 MARC CT
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City | PARLIN
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State | NJ
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Zip | 08859-3100
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Country | US
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Telephone | 732-313-6904
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ01000900
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License Number State | NJ
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