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General NPI Number Information
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NPI Number | 1851491021
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Entity Type | Organization
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Legal Business Name | GUY TRENGOVE-JONES, M.D., P.C.
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 10/02/2012
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Provider Practice Location Address
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Address Line | 100 KINGSLEY LN SUITE 302
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City | NORFOLK
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State | VA
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Zip | 23505-4604
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Country | US
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Telephone | 757-423-2166
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Fax | 757-423-2285
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Provider Business Mailing Address
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Address Line | PO BOX 9375
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City | NORFOLK
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State | VA
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Zip | 23505-0375
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Country | US
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Telephone | 757-423-2166
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Fax | 757-423-2285
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. DIANA DLUBALA
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Credential |
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Telephone | 757-423-2166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 0101035886
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License Number State | VA
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