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General NPI Number Information
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NPI Number | 1851248645
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Entity Type | Individual
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Provider Name | TRINITY NOEL STANBACK CPHT
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Gender | Female
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 4501 W SLAUSON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90043-2719
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Country | US
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Telephone | 323-292-4114
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Fax |
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Provider Business Mailing Address
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Address Line | 4501 W SLAUSON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90043-2719
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Country | US
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Telephone | 323-292-4114
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | TCH207441
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License Number State | CA
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