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General NPI Number Information
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NPI Number | 1447434006
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Entity Type | Individual
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Provider Name | DONGNGAN THUY TRUONG M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 2970 BRANDYWINE RD # 125
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City | ATLANTA
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State | GA
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Zip | 30341-5528
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Country | US
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Telephone | 404-256-2593
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Fax | 770-488-9408
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Provider Business Mailing Address
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Address Line | PO BOX 413021
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City | SALT LAKE CITY
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State | UT
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Zip | 84141-3021
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Country | US
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Telephone | 801-213-3900
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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 | 047786
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 100558
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License Number State | GA
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