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General NPI Number Information
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NPI Number | 1649776188
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Entity Type | Individual
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Provider Name | DUC H TRUONG PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 04/03/2018
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Provider Practice Location Address
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Address Line | 2100 WEBSTER ST STE 105
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2374
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Country | US
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Telephone | 415-441-5742
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Fax |
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Provider Business Mailing Address
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Address Line | 355 EDDY ST APT 203
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-2635
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Country | US
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Telephone | 206-234-5833
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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 | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 77252
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License Number State | CA
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