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General NPI Number Information
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NPI Number | 1841534633
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Entity Type | Organization
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Legal Business Name | NHU VAN TRUONG MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 11/16/2012
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Last Update Date | 02/20/2018
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Provider Practice Location Address
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Address Line | 10402 WESTMINSTER AVE, #100B
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4862
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Country | US
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Telephone | 714-539-4946
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Fax | 714-539-4810
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Provider Business Mailing Address
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Address Line | 10402 WESTMINSTER AVE, #100B
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4844
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Country | US
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Telephone | 714-539-4946
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Fax | 714-539-4810
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Authorized Official
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Title or Position | OWNER
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Name | NHU VAN TRUONG
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Credential | MD
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Telephone | 714-539-4946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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