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General NPI Number Information
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NPI Number | 1558681395
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Entity Type | Organization
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Legal Business Name | TRINIDAD ORTHOPAEDICS AND SPORTSMEDICINE INC
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 02/26/2016
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Provider Practice Location Address
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Address Line | 1729 KINNEYS LANE SUITE-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 | 415 GREENWELL AVE
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City | CINCINNATI
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State | OH
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Zip | 45238-5302
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Country | US
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Telephone | 513-557-3960
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Fax | 513-557-3506
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Authorized Official
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Title or Position | PRESIDENT
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Name | GERARDO TRINIDAD
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Credential | MD
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Telephone | 740-351-0980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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