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General NPI Number Information
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NPI Number | 1164306627
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Entity Type | Individual
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Provider Name | TRINH LUONG RN, CEN
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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 | 11111 PANAMA CITY BEACH PKWY
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-2448
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Country | US
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Telephone | 850-319-5978
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Fax |
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Provider Business Mailing Address
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Address Line | 3426 ORLANDO RD
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City | PANAMA CITY
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State | FL
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Zip | 32405-6943
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Country | US
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Telephone | 850-319-5978
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 9375542
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License Number State | FL
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