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General NPI Number Information
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NPI Number | 1073391488
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Entity Type | Individual
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Provider Name | JESSICA TRUONG
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Gender | Female
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 3808 UNION ST STE 3I
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City | FLUSHING
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State | NY
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Zip | 11354-5670
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Country | US
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Telephone | 917-621-8999
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Fax |
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Provider Business Mailing Address
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Address Line | 5848 218TH ST
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City | BAYSIDE HILLS
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State | NY
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Zip | 11364-1916
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Country | US
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Telephone | 516-234-9512
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5277701
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License Number State | NY
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