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General NPI Number Information
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NPI Number | 1568803831
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Entity Type | Individual
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Provider Name | ANDY TRINH
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Gender | Male
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Dates
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Enumeration Date | 07/15/2013
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 11811 NE 128TH ST STE A
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City | KIRKLAND
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State | WA
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Zip | 98034-7230
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Country | US
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Telephone | 425-820-1820
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Fax |
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Provider Business Mailing Address
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Address Line | 11811 NE 128TH ST STE A
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City | KIRKLAND
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State | WA
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Zip | 98034-7230
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Country | US
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Telephone | 206-218-7740
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DE60373467
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License Number State | WA
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