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General NPI Number Information
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NPI Number | 1649267683
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Entity Type | Individual
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Provider Name | THOMAS DANIEL TRUONG DPM
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Gender | Male
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 3460 N RIDGE RD STE 140
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City | WICHITA
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State | KS
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Zip | 67205-1223
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Country | US
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Telephone | 316-283-4330
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Fax | 316-283-4340
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Provider Business Mailing Address
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Address Line | 3460 N RIDGE RD STE 140
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City | WICHITA
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State | KS
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Zip | 67205-1223
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Country | US
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Telephone | 316-283-4330
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Fax | 316-283-4340
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1200351
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License Number State | KS
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