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General NPI Number Information
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NPI Number | 1063377455
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Entity Type | Individual
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Provider Name | PHUONGQUYEN TRUONG LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 5850 GRANITE PKWY
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City | PLANO
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State | TX
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Zip | 75024-6748
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Country | US
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Telephone | 855-383-3315
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Fax |
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Provider Business Mailing Address
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Address Line | 4624 SOUTHPOINTE DR
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City | RICHARDSON
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State | TX
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Zip | 75082-3857
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Country | US
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Telephone | 214-497-7217
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12885
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 51859
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License Number State | TX
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