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General NPI Number Information
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NPI Number | 1285976522
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Entity Type | Individual
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Provider Name | ALLEN TRENTON DUONG DACM, L.AC, DIP. OM
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Gender | Male
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Dates
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Enumeration Date | 03/25/2013
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 9098 LAGUNA MAIN ST STE 7A
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City | ELK GROVE
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State | CA
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Zip | 95758-7449
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Country | US
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Telephone | 916-827-1808
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Fax | 916-384-4882
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Provider Business Mailing Address
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Address Line | 9098 LAGUNA MAIN ST STE 7A
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City | ELK GROVE
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State | CA
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Zip | 95758-7449
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Country | US
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Telephone | 916-827-1808
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Fax | 916-384-4882
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC18031
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License Number State | CA
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