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General NPI Number Information
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NPI Number | 1649205022
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Entity Type | Individual
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Provider Name | MS. THIEN N TRUONG
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13619 MUKILTEO SPEEDWAY
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City | LYNNWOOD
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State | WA
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Zip | 98087-1626
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Country | US
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Telephone | 425-742-1120
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Fax |
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Provider Business Mailing Address
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Address Line | 5008 164TH ST SW
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City | EDMONDS
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State | WA
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Zip | 98026-4834
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Country | US
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Telephone | 425-773-5469
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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 | IR00056336
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License Number State | WA
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