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General NPI Number Information
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NPI Number | 1407234644
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Entity Type | Individual
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Provider Name | DR. TRANG DUONG
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Gender | Female
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 10138 GARVEY AVE STE C
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City | EL MONTE
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State | CA
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Zip | 91733-5002
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Country | US
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Telephone | 626-361-7055
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Fax | 626-768-7112
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Provider Business Mailing Address
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Address Line | 1502 N HILLTOP DR
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City | AZUSA
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State | CA
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Zip | 91702-1550
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Country | US
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Telephone | 510-331-6277
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E5164
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License Number State | CA
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