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General NPI Number Information
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NPI Number | 1629339650
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Entity Type | Individual
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Provider Name | ALDO TRINIDAD M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 2525 GLENN HENDREN DR
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City | LIBERTY
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State | MO
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Zip | 64068
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Country | US
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Telephone | 913-642-4900
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Fax | 913-381-0979
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Provider Business Mailing Address
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Address Line | PO BOX 804408
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City | KANSAS CITY
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State | MO
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Zip | 64180-4408
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Country | US
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Telephone | 913-647-4100
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Fax | 913-647-4120
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2018032218
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License Number State | MO
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