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General NPI Number Information
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NPI Number | 1518020353
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Entity Type | Individual
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Provider Name | ANTHONY LEMINH TRUONG D.O.
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Gender | Male
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 299 W FOOTHILL BLVD 209
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City | UPLAND
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State | CA
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Zip | 91786
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Country | US
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Telephone | 909-982-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 299 W FOOTHILL BLVD 209
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City | UPLAND
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State | CA
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Zip | 91786
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Country | US
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Telephone | 909-982-4000
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A20836
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036132077
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License Number State | IL
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