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General NPI Number Information
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NPI Number | 1083594865
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Entity Type | Individual
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Provider Name | DANG MINH HO
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Gender | Male
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 13768 ROSWELL AVE STE 118
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City | CHINO
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State | CA
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Zip | 91710-1402
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Country | US
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Telephone | 909-591-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 13768 ROSWELL AVE STE 118
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City | CHINO
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State | CA
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Zip | 91710-1402
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Country | US
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Telephone | 909-591-8200
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95233452
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License Number State | CA
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