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General NPI Number Information
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NPI Number | 1174875603
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Entity Type | Organization
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Legal Business Name | DANIEL NGUYEN MD INC
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Dates
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Enumeration Date | 10/08/2012
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Last Update Date | 01/07/2013
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Provider Practice Location Address
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Address Line | 15039 GOLDENWEST ST
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-2710
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Country | US
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Telephone | 714-893-7009
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 534
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City | MIDWAY CITY
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State | CA
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Zip | 92655-0534
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Country | US
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Telephone | 714-420-6253
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL NGUYEN
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Credential | MD
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Telephone | 714-420-6253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A85688
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License Number State | CA
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