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General NPI Number Information
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NPI Number | 1790004224
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Entity Type | Organization
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Legal Business Name | TRINITY J & S, INC.
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Dates
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Enumeration Date | 05/24/2010
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Last Update Date | 05/24/2010
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Provider Practice Location Address
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Address Line | 1600 BEDFORD RD SUITE 200
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City | BEDFORD
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State | TX
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Zip | 76021-5702
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Country | US
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Telephone | 817-358-0909
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Fax | 817-358-0900
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Provider Business Mailing Address
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Address Line | 1600 BEDFORD RD SUITE 200
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City | BEDFORD
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State | TX
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Zip | 76021-5702
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Country | US
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Telephone | 817-358-0909
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Fax | 817-358-0900
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Authorized Official
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Title or Position | PRESIDENT/DENTIST
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Name | JASDEEP WALIA
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Credential |
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Telephone | 214-455-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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