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General NPI Number Information
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NPI Number | 1891398210
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Entity Type | Individual
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Provider Name | BRANDON TRUONG PHARM D
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Gender | Male
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 8532 DAVIS BLVD
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76182-8300
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Country | US
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Telephone | 817-503-0615
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Fax |
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Provider Business Mailing Address
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Address Line | 8682 SPRING GARDEN DR APT 8202
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City | FORT WORTH
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State | TX
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Zip | 76244-9370
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Country | US
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Telephone | 405-887-4650
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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 | 66480
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License Number State | TX
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