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General NPI Number Information
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NPI Number | 1235520149
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Entity Type | Individual
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Provider Name | THUY THANH DOAN LVN
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Gender | Female
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Dates
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Enumeration Date | 02/13/2015
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Last Update Date | 02/13/2015
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Provider Practice Location Address
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Address Line | 2001 THE ALAMEDA
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City | SAN JOSE
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State | CA
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Zip | 95126-1136
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Country | US
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Telephone | 408-261-7777
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Fax | 408-259-2273
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Provider Business Mailing Address
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Address Line | 3832 HURSTGLEN WAY
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City | SAN JOSE
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State | CA
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Zip | 95121-1444
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Country | US
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Telephone | 408-728-0319
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | VN228468
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License Number State | CA
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