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General NPI Number Information
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NPI Number | 1861672727
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Entity Type | Organization
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Legal Business Name | STRUONG MD CORP.
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 15568 BROOKHURST ST SUITE 368
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City | WESTMINSTER
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State | CA
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Zip | 92683-7572
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Country | US
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Telephone | 714-866-1807
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Fax | 800-809-8379
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Provider Business Mailing Address
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Address Line | 15568 BROOKHURST ST SUITE 368
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City | WESTMINSTER
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State | CA
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Zip | 92683-7572
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Country | US
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Telephone | 714-866-1807
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Fax | 800-809-8379
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. SONY N. TRUONG
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Credential | M.D.
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Telephone | 714-866-1807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | A97261
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License Number State | CA
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