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General NPI Number Information
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NPI Number | 1679861736
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Entity Type | Organization
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Legal Business Name | TRINA HEALTH OF NEWPORT BEACH, LLC
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 1525 SUPERIOR AVE STE 214
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3639
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Country | US
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Telephone | 949-722-7902
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Fax | 949-722-7903
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Provider Business Mailing Address
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Address Line | 1525 SUPERIOR AVE STE 214
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3639
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Country | US
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Telephone | 949-722-7902
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Fax | 949-722-7903
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Authorized Official
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Title or Position | CEO/MANAGER
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Name | GREGORY FORD GILBERT
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Credential |
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Telephone | 916-335-2389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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