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General NPI Number Information
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NPI Number | 1457381659
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Entity Type | Organization
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Legal Business Name | TRUONG & DUONG MEDICAL CORP.
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1085 N HARBOR BLVD
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City | ANAHEIM
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State | CA
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Zip | 92801-2417
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Country | US
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Telephone | 714-776-8579
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Fax | 714-776-1836
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Provider Business Mailing Address
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Address Line | 1085 N HARBOR BLVD
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City | ANAHEIM
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State | CA
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Zip | 92801-2417
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Country | US
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Telephone | 714-776-8579
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Fax | 714-776-1836
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Authorized Official
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Title or Position | CEO
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Name | TUAN KHANH DUONG
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Credential | M.D.
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Telephone | 714-776-8579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | W19043
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License Number State | CA
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