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General NPI Number Information
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NPI Number | 1508464777
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Entity Type | Individual
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Provider Name | CALVIN HUNG TRUONG PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/11/2020
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Last Update Date | 10/11/2020
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Provider Practice Location Address
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Address Line | 10204 FLATLANDS AVE
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City | BROOKLYN
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State | NY
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Zip | 11236-2810
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Country | US
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Telephone | 718-257-1099
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Fax |
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Provider Business Mailing Address
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Address Line | 1920 19TH LN
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City | BROOKLYN
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State | NY
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Zip | 11214-6102
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Country | US
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Telephone | 347-656-5015
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 067180
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License Number State | NY
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