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General NPI Number Information
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NPI Number | 1639123268
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Entity Type | Individual
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Provider Name | TRINKA AYN DOUGLAS RN, MSN, ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 08/27/2014
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Provider Practice Location Address
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Address Line | 3815 FABER PLACE DR
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City | N CHARLESTON
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State | SC
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Zip | 29405-8533
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Country | US
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Telephone | 843-767-9312
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Fax | 843-767-9313
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Provider Business Mailing Address
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Address Line | 3815 FABER PLACE DR
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City | N CHARLESTON
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State | SC
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Zip | 29405-8533
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Country | US
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Telephone | 843-767-9312
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Fax | 843-767-9313
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 666811
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 3707
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License Number State | SC
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