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General NPI Number Information
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NPI Number | 1962005645
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Entity Type | Individual
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Provider Name | KEVIN TRINH
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Gender | Male
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 13502 W 87TH STREET PKWY
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City | LENEXA
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State | KS
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Zip | 66215-4503
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Country | US
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Telephone | 913-492-4650
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Fax |
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Provider Business Mailing Address
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Address Line | 16085 W 90TH ST APT 1501
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City | LENEXA
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State | KS
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Zip | 66219-2129
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Country | US
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Telephone | 913-940-5468
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1-111838
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2020026178
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License Number State | MO
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