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General NPI Number Information
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NPI Number | 1871814673
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Entity Type | Individual
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Provider Name | MR. JAMES THOMAS TRAPOLD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 06/15/2010
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Provider Practice Location Address
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Address Line | 3030 N HESPERIAN ST
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City | SANTA ANA
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State | CA
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Zip | 92706-1151
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Country | US
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Telephone | 714-836-2736
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Fax |
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Provider Business Mailing Address
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Address Line | 406 10TH ST APT B
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-4504
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Country | US
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Telephone | 732-309-2464
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | F1437517
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License Number State | CA
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