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General NPI Number Information
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NPI Number | 1760706139
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Entity Type | Individual
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Provider Name | KIANA RENE TRENT DPM
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Gender | Female
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Dates
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Enumeration Date | 03/15/2010
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Last Update Date | 01/15/2019
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Provider Practice Location Address
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Address Line | 10 N GREENE ST
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City | BALTIMORE
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State | MD
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Zip | 21201-1524
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Country | US
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Telephone | 404-606-7449
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Fax | 404-606-7449
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Provider Business Mailing Address
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Address Line | 10507 OBSERVATORY PL
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City | UPPER MARLBORO
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State | MD
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Zip | 20772-8511
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Country | US
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Telephone | 404-606-7449
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 01544
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License Number State | MD
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