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General NPI Number Information
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NPI Number | 1194096230
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Entity Type | Individual
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Provider Name | KIM NGAN TRUONG D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 01/20/2012
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 3990 MING AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93309-5005
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Country | US
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Telephone | 661-831-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 723 S ROANNE ST
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City | ANAHEIM
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State | CA
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Zip | 92804-3408
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Country | US
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Telephone | 714-261-0779
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 61099
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License Number State | CA
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