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General NPI Number Information
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NPI Number | 1346080454
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Entity Type | Organization
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Legal Business Name | NICK H TRUONG DMD LLC
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 3001 SOLLERS POINT RD
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City | BALTIMORE
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State | MD
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Zip | 21222-5340
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Country | US
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Telephone | 410-284-1414
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Fax | 410-284-4772
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Provider Business Mailing Address
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Address Line | 3001 SOLLERS POINT RD
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City | BALTIMORE
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State | MD
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Zip | 21222-5340
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Country | US
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Telephone | 410-284-1414
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Fax | 410-284-4772
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Authorized Official
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Title or Position | DENTIST
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Name | DR. NICK H TRUONG
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Credential | DMD
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Telephone | 703-554-4083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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