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General NPI Number Information
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NPI Number | 1881750487
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Entity Type | Individual
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Provider Name | HOLLY N. TRINQUE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 06/26/2012
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Provider Practice Location Address
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Address Line | 12280 LAKE UNDERHILL RD
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City | ORLANDO
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State | FL
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Zip | 32825-5009
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Country | US
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Telephone | 618-910-2528
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 RANCHETTE SQ
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City | GULF BREEZE
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State | FL
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Zip | 32563-2612
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Country | US
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Telephone | 618-910-2528
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209005608
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9314984
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9314984
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041329445
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License Number State | IL
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