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NPI 1548145055

NPI 1548145055 : PERNILLE KRISTINA BJERRE TRENT MD, PHD : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1548145055
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    Entity Type          |    Individual 
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    Provider Name        |    PERNILLE KRISTINA BJERRE TRENT MD, PHD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/06/2025
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    Last Update Date     |    08/06/2025
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Provider Practice Location Address
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    Address Line         |    1275 YORK AVE 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10065-6007
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    Country              |    US
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    Telephone            |    347-798-9213
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    504 E 63RD ST APT 28L 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10065-7931
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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    |    
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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        |    207VX0201X
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    Taxonomy Name        |    Gynecologic Oncology Physician
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    License Number       |    P135007
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    License Number State |    NY
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