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NPI 1225224744

NPI 1225224744 : CLAIRE MINH NGUYEN PA-C, L.AC. : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1225224744
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    Entity Type          |    Individual 
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    Provider Name        |    CLAIRE MINH NGUYEN PA-C, L.AC.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/18/2007
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    Last Update Date     |    06/21/2018
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Provider Practice Location Address
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    Address Line         |    1500 21ST ST 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95811
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    Country              |    US
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    Telephone            |    916-443-3299
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    Fax                  |    916-325-1984
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Provider Business Mailing Address
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    Address Line         |    1500 21ST ST 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95811-5216
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    Country              |    US
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    Telephone            |    916-443-3299
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    Fax                  |    916-325-1984
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    AC11633
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    PA52280
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    License Number State |    CA
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