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General NPI Number Information
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NPI Number | 1447211495
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Entity Type | Organization
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Legal Business Name | ANDY N TRUONG M.D, INC.
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16027 BROOKHURST ST G-135
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-1551
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Country | US
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Telephone | 714-323-6446
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Fax | 714-844-9494
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Provider Business Mailing Address
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Address Line | 16027 BROOKHURST ST G-135
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-1551
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Country | US
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Telephone | 714-323-6446
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Fax | 714-844-9494
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Authorized Official
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Title or Position | CEO/PHYSICIAN
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Name | DR. ANDY NGOC TRUONG
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Credential | M.D
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Telephone | 714-323-6446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A66251
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License Number State | CA
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