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NPI 1609971209

NPI 1609971209 : DAVID TRINKLE RD : WENDELL, NC

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General NPI Number Information
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    NPI Number           |    1609971209
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID TRINKLE RD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/14/2006
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    Last Update Date     |    11/16/2025
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Provider Practice Location Address
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    Address Line         |    469 CAMPBELL RIDGE PL 
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    City                 |    WENDELL
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    State                |    NC
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    Zip                  |    27591-4103
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    Country              |    US
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    Telephone            |    321-890-7593
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    469 CAMPBELL RIDGE PL 
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    City                 |    WENDELL
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    State                |    NC
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    Zip                  |    27591-4103
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    Country              |    US
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    Telephone            |    321-890-7593
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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        |    133VN1006X
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    Taxonomy Name        |    Metabolic Nutrition Registered Dietitian
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    License Number       |    4783
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    License Number State |    FL
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