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General NPI Number Information
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NPI Number | 1649379330
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Entity Type | Individual
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Provider Name | CHRISTOPHER NHAN MANH TRINH D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4210 W CRAIG RD #104
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-2734
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Country | US
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Telephone | 702-436-5222
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Fax | 702-873-5222
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Provider Business Mailing Address
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Address Line | 4210 W CRAIG RD #104
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-2734
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Country | US
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Telephone | 702-436-5222
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Fax | 702-873-5222
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4083
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License Number State | NV
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