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General NPI Number Information
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NPI Number | 1568022812
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Entity Type | Individual
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Provider Name | NGOC KIM TRINH
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Gender | Female
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 7560 W SAHARA AVE STE 107
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City | LAS VEGAS
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State | NV
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Zip | 89117-2745
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Country | US
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Telephone | 702-283-6215
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Fax | 702-979-1028
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Provider Business Mailing Address
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Address Line | 8327 SONORA DEL SOL ST
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City | LAS VEGAS
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State | NV
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Zip | 89113-4695
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Country | US
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Telephone | 702-327-6416
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | LBA0896
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License Number State | NV
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