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General NPI Number Information
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NPI Number | 1619587797
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Entity Type | Organization
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Legal Business Name | TRUE PACIFIC MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/04/2020
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 9940 TALBERT AVE STE 100
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5153
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Country | US
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Telephone | 714-378-5062
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Fax |
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Provider Business Mailing Address
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Address Line | 9940 TALBERT AVE STE 100
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5153
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Country | US
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Telephone | 714-378-5062
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. DANIEL D TRUONG
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Credential | MD
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Telephone | 714-378-5062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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