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General NPI Number Information
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NPI Number | 1386733251
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Entity Type | Individual
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Provider Name | DUONG TRUNG NGUYEN D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 3311 TOLEDO RD # 3124
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City | HYATTSVILLE
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State | MD
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Zip | 20782-2064
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Country | US
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Telephone | 301-458-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 4001 PRINCE WILLIAM PKWY SUITE 101
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City | WOODBRIDGE
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State | VA
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Zip | 22192-7666
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Country | US
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Telephone | 703-792-7333
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0102201951
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License Number State | VA
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