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General NPI Number Information
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NPI Number | 1144670068
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Entity Type | Organization
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Legal Business Name | TRUONG ENTERPRISE INC
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Dates
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Enumeration Date | 06/22/2016
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Last Update Date | 12/28/2016
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Provider Practice Location Address
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Address Line | 2620 MISSION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3102
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Country | US
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Telephone | 415-826-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 2224 6TH ST
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City | BERKELEY
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State | CA
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Zip | 94710-2219
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Country | US
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Telephone | 415-531-4113
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY NGO
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Credential | DC
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Telephone | 415-531-4113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC-27497
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License Number State | CA
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