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General NPI Number Information
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NPI Number | 1952519498
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Entity Type | Individual
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Provider Name | HENRY TRUONG PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 615 E. CLINTON AVE.
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City | FRESNO
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State | CA
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Zip | 93704
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Country | US
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Telephone | 559-225-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 1830 E SHEPHERD AVE APT 221
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City | FRESNO
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State | CA
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Zip | 93720-5620
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Country | US
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Telephone | 408-834-3815
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 17060
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License Number State | CA
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