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General NPI Number Information
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NPI Number | 1275024564
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Entity Type | Individual
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Provider Name | MICHELLE QUYNH DANG
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Gender | Female
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 08/17/2019
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Provider Practice Location Address
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Address Line | 9550 WARNER AVE STE 224
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2843
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Country | US
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Telephone | 714-336-7536
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Fax | 714-369-2641
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Provider Business Mailing Address
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Address Line | 9550 WARNER AVE STE 224
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2843
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Country | US
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Telephone | 714-336-7536
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Fax | 714-369-2641
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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 | DC28523
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License Number State | CA
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