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General NPI Number Information
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NPI Number | 1215279971
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Entity Type | Individual
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Provider Name | TRUC-ANH THANH NGUYEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 1501 N. CAMPBELL AVE., ROOM 4401 P.O. BOX 245114
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City | TUCSON
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State | AZ
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Zip | 85724
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Country | US
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Telephone | 520-626-7221
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 N CAMPBELL AVE RM 4401
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City | TUCSON
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State | AZ
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Zip | 85724-0001
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Country | US
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Telephone | 520-626-7221
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D83416
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 146058
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 58900
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License Number State | AZ
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