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General NPI Number Information
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NPI Number | 1306429857
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Entity Type | Individual
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Provider Name | BINH C TRUONG NP
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Gender | Male
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Dates
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Enumeration Date | 05/03/2021
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 15051 GALAXIE AVE
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City | APPLE VALLEY
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State | MN
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Zip | 55124-6987
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Country | US
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Telephone | 866-389-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 1636 TEXAS AVE S
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City | ST LOUIS PARK
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State | MN
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Zip | 55426-1918
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Country | US
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Telephone | 612-518-4169
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 7866
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License Number State | MN
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