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General NPI Number Information
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NPI Number | 1780571265
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Entity Type | Individual
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Provider Name | JENNIFER TRUONG OD
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1300 W SUNSET RD STE 1617
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City | HENDERSON
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State | NV
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Zip | 89014-6623
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Country | US
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Telephone | 702-436-0040
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Fax |
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Provider Business Mailing Address
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Address Line | 7917 HERSHEY ST
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City | ROSEMEAD
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State | CA
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Zip | 91770-2415
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Country | US
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Telephone | 626-560-6898
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 36024
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License Number State | CA
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