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General NPI Number Information
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NPI Number | 1669107751
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Entity Type | Individual
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Provider Name | ELIZABETH TRIMMER PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/21/2022
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 8970 KNOTT AVE
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City | BUENA PARK
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State | CA
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Zip | 90620-4137
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Country | US
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Telephone | 877-693-6266
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 E VERMONT AVE
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City | ANAHEIM
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State | CA
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Zip | 92806-4652
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA63565
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License Number State | CA
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