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General NPI Number Information
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NPI Number | 1093201568
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Entity Type | Individual
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Provider Name | TRINH NGOC LECOMTE
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Gender | Female
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Dates
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Enumeration Date | 07/07/2018
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 1792 TRIBUTE RD STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95815-4320
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Country | US
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Telephone | 916-678-7270
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Fax |
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Provider Business Mailing Address
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Address Line | 1333 HUNTINGTON TRL
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City | ROUND ROCK
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State | TX
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Zip | 78664-9316
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Country | US
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Telephone | 972-814-3649
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP137937
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95023011
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License Number State | CA
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