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General NPI Number Information
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NPI Number | 1497409346
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Entity Type | Organization
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Legal Business Name | TROUNG MA CHIROPRACTIC CORP
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Dates
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Enumeration Date | 02/09/2022
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 4847 HOPYARD RD STE D-1
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City | PLEASANTON
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State | CA
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Zip | 94588-3360
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Country | US
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Telephone | 510-813-8591
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Fax |
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Provider Business Mailing Address
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Address Line | 461 VIOLET ST
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City | SAN LEANDRO
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State | CA
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Zip | 94578-3926
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Country | US
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Telephone | 510-813-8591
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Fax |
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Authorized Official
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Title or Position | CEO/DOCTOR
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Name | DR. SULLIVAN TRUONG
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Credential | DC
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Telephone | 951-760-8168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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