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General NPI Number Information
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NPI Number | 1235090721
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Entity Type | Organization
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Legal Business Name | THAO
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1171 HOMESTEAD RD
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City | SANTA CLARA
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State | CA
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Zip | 95050-5478
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Country | US
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Telephone | 650-444-4838
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Fax |
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Provider Business Mailing Address
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Address Line | 1171 HOMESTEAD RD
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City | SANTA CLARA
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State | CA
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Zip | 95050-5478
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | THAO NGUYEN
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Credential | NP
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Telephone | 925-497-0188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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