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General NPI Number Information
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NPI Number | 1023929304
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Entity Type | Individual
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Provider Name | TRUC THI KIM LE RDN, LDN
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Gender |
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 2520 ELISHA AVE
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City | ZION
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State | IL
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Zip | 60099-2676
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Country | US
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Telephone | 847-342-6910
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Fax |
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Provider Business Mailing Address
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Address Line | 400 S GREEN ST APT 209
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City | CHICAGO
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State | IL
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Zip | 60607-3546
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Country | US
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Telephone |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164.022956
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License Number State | IL
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