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General NPI Number Information
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NPI Number | 1013803030
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Entity Type | Individual
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Provider Name | NGUYEN CHRISTINE THUY VAN TRUONG DDS
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Gender | Female
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1512 COMMERCE ST
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City | WELLSBURG
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State | WV
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Zip | 26070-1323
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Country | US
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Telephone | 304-737-2533
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Fax |
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Provider Business Mailing Address
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Address Line | 64 HAWTHORNE DR
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City | WASHINGTON
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State | PA
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Zip | 15301-6137
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Country | US
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Telephone | 704-492-5847
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 4785
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License Number State | WV
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