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General NPI Number Information
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NPI Number | 1225372063
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Entity Type | Organization
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Legal Business Name | PAUL T. DUONG, M.D., INC
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Dates
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Enumeration Date | 11/17/2012
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Last Update Date | 11/17/2012
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Provider Practice Location Address
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Address Line | 9433 BOLSA AVE SUITE # A
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City | WESTMINSTER
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State | CA
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Zip | 92683-5964
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Country | US
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Telephone | 714-839-7332
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Fax |
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Provider Business Mailing Address
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Address Line | 9433 BOLSA AVE SUITE #A
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City | WESTMINSTER
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State | CA
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Zip | 92683-5964
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Country | US
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Telephone | 714-839-7332
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL T. DUONG
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Credential | M.D.
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Telephone | 714-839-7332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | G66325
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License Number State | CA
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