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General NPI Number Information
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NPI Number | 1487181913
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Entity Type | Individual
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Provider Name | TRUC XUAN DINH MD
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Gender | Female
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Dates
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Enumeration Date | 05/15/2017
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 10150 BLUEBONNET BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70810-7131
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Country | US
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Telephone | 225-761-5200
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Fax | 225-374-1611
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Provider Business Mailing Address
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Address Line | 1008 JUNG BLVD
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City | MARRERO
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State | LA
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Zip | 70072-2318
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Country | US
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Telephone | 504-331-6688
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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 | 323901
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License Number State | LA
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