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General NPI Number Information
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NPI Number | 1811122757
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Entity Type | Individual
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Provider Name | AMY HA TRUONG DDS
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Gender | Female
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 07/30/2019
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Provider Practice Location Address
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Address Line | 6230 10TH ST N STE 520
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City | OAKDALE
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State | MN
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Zip | 55128
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Country | US
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Telephone | 651-731-3064
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Fax |
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Provider Business Mailing Address
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Address Line | 6230 10TH ST N STE 520
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City | OAKDALE
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State | MN
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Zip | 55128-6163
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Country | US
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Telephone | 651-731-3064
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D12647
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License Number State | MN
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