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General NPI Number Information
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NPI Number | 1194220913
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Entity Type | Individual
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Provider Name | JANNETT NGUYEN MD
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Gender | Female
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Dates
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Enumeration Date | 03/25/2018
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 10061 ADAMS AVE STE 103
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-4901
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Country | US
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Telephone | 657-215-8755
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Fax | 714-613-1404
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Provider Business Mailing Address
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Address Line | 10061 ADAMS AVE STE 103
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-4901
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Country | US
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Telephone | 657-215-8755
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Fax | 714-613-1404
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A163931
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License Number State | CA
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