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General NPI Number Information
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NPI Number | 1053295758
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Entity Type | Individual
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Provider Name | THAO TRUONG
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 4300 EL CAMINO REAL STE 100
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City | LOS ALTOS
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State | CA
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Zip | 94022-1090
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Country | US
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Telephone | 650-325-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 NUNES DR
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City | SAN JOSE
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State | CA
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Zip | 95131-2626
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Country | US
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Telephone | 408-601-7534
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95040282
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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