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General NPI Number Information
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NPI Number | 1881623783
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Entity Type | Individual
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Provider Name | TRENACE DUBREUIL M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 08/11/2016
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Provider Practice Location Address
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Address Line | 302 W FLETCHER AVE
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City | TAMPA
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State | FL
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Zip | 33612-3415
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Country | US
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Telephone | 813-866-0930
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Fax | 813-405-3722
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Provider Business Mailing Address
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Address Line | PO BOX 82969
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City | TAMPA
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State | FL
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Zip | 33682-2969
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Country | US
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Telephone | 813-866-0930
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Fax | 813-405-3722
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 22347
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME112841
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License Number State | FL
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