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General NPI Number Information
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NPI Number | 1609526581
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Entity Type | Individual
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Provider Name | HONG DIEM JENNIFER TRUONG DO
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Gender | Female
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Dates
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Enumeration Date | 03/24/2022
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 2100 OCOEE APOPKA RD
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City | APOPKA
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State | FL
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Zip | 32703-9210
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Country | US
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Telephone | 407-609-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 11216 CYPRESS LEAF DR
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City | ORLANDO
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State | FL
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Zip | 32825-5864
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Country | US
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Telephone | 720-309-4579
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 21896
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License Number State | FL
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