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General NPI Number Information
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NPI Number | 1396444147
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Entity Type | Organization
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Legal Business Name | CHRISTINE TRUONG, OD, OPTOMETRIC CORPORATION
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 6511 E PACIFIC COAST HWY STE G2-B
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City | LONG BEACH
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State | CA
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Zip | 90803-4248
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Country | US
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Telephone | 714-618-1917
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Fax |
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Provider Business Mailing Address
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Address Line | 6511 E PACIFIC COAST HWY STE G2B
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City | LONG BEACH
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State | CA
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Zip | 90803-4250
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. CHRISTINE TRUONG
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Credential |
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Telephone | 562-358-3616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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