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General NPI Number Information
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NPI Number | 1821420183
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Entity Type | Individual
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Provider Name | SANDY THI TRUONG PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 08/08/2013
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 401 E SHERIDAN ST
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City | DANIA BEACH
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State | FL
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Zip | 33004-4603
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Country | US
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Telephone | 954-988-5210
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Fax | 954-988-5208
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Provider Business Mailing Address
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Address Line | 16417 SW 22ND ST
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City | MIRAMAR
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State | FL
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Zip | 33027-4464
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Country | US
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Telephone | 561-309-4654
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS50847
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License Number State | FL
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