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General NPI Number Information
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NPI Number | 1194824250
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Entity Type | Individual
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Provider Name | AMANDA NGUI-YEN D.C.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 11495 SUNSET HILLS RD STE 240
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City | RESTON
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State | VA
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Zip | 20190-5257
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Country | US
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Telephone | 703-742-7856
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Fax | 703-742-4064
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Provider Business Mailing Address
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Address Line | 11495 SUNSET HILLS RD STE 240
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City | RESTON
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State | VA
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Zip | 20190-5257
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Country | US
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Telephone | 703-742-7856
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | S03448
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104556386
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License Number State | VA
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