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General NPI Number Information
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NPI Number | 1720243868
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Entity Type | Organization
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Legal Business Name | TRONG B NGUYEN MD INC
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 18035 BROOKHURST ST # 1100
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-6738
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Country | US
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Telephone | 714-861-4888
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Fax |
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Provider Business Mailing Address
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Address Line | 18035 BROOKHURST ST STE 1100
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-6738
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Country | US
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Telephone | 714-861-4888
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Fax | 714-861-4777
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Authorized Official
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Title or Position | OWNER
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Name | DR. TRONG B NGUYEN
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Credential | MD
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Telephone | 714-861-4888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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