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General NPI Number Information
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NPI Number | 1669644209
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Entity Type | Organization
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Legal Business Name | HOI TRINH MEDICAL CORP
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 6175 STOCKTON BLVD 225
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City | SACRAMENTO
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State | CA
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Zip | 95824-4523
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Country | US
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Telephone | 916-421-7720
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Fax | 916-421-2622
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Provider Business Mailing Address
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Address Line | 6175 STOCKTON BOULEVARD 225
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City | SACRAMENTO
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State | CA
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Zip | 95824-4523
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Country | US
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Telephone | 916-421-7720
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Fax | 916-421-2622
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOI TRINH
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Credential | MD
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Telephone | 916-421-7720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A51429
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License Number State | CA
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