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General NPI Number Information
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NPI Number | 1104136662
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Entity Type | Individual
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Provider Name | OANH N NGO PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | 3662 KATELLA AVE STE 105
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3180
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Country | US
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Telephone | 562-799-4494
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Fax | 562-280-0304
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Provider Business Mailing Address
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Address Line | 3662 KATELLA AVE STE 105
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3180
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Country | US
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Telephone | 562-799-4494
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Fax | 562-280-0304
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT37168
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License Number State | CA
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