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General NPI Number Information
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NPI Number | 1821280744
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Entity Type | Organization
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Legal Business Name | TRUONG D. DUONG M.D., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 9333 BASELINE RD SUITE 120
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-1350
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Country | US
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Telephone | 877-773-8664
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Fax | 877-773-8640
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Provider Business Mailing Address
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Address Line | PO BOX 2077
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City | CHINO
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State | CA
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Zip | 91708-2077
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Country | US
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Telephone | 877-773-8664
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Fax | 877-773-8640
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Authorized Official
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Title or Position | OWNER
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Name | DR. TRUONG DINH DUONG
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Credential | MD
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Telephone | 909-744-7983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A70137
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License Number State | CA
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