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General NPI Number Information
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NPI Number | 1235937897
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Entity Type | Individual
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Provider Name | ANH THI QUYNH TRUONG
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Gender | Female
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 30 AUDREY LN
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City | OXON HILL
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State | MD
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Zip | 20745-1301
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Country | US
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Telephone | 301-567-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 30 AUDREY LN
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City | OXON HILL
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State | MD
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Zip | 20745-1301
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Country | US
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Telephone | 301-567-5437
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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 | 0401419555
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN2001572
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 18927
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License Number State | MD
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