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General NPI Number Information
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NPI Number | 1699542589
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Entity Type | Organization
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Legal Business Name | QUEEN TRINIDAD HEALS
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 404 HOPE MILLS RD UNIT 3
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-2222
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Country | US
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Telephone | 281-254-2542
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Fax |
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Provider Business Mailing Address
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Address Line | 6748 WILLOWBROOK DR APT 4
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-1165
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Country | US
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Telephone | 281-254-2542
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Fax |
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Authorized Official
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Title or Position | SOMATIC SOUND THERIPIST
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Name | CYNTHIA DEANNA TRINIDAD
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Credential | CERTIFIED
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Telephone | 281-254-2542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number |
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License Number State |
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