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General NPI Number Information
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NPI Number | 1275160046
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Entity Type | Individual
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Provider Name | SANG MINH NGUYEN MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 701 E EL CAMINO REAL
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-2833
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Country | US
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Telephone | 650-934-7850
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Fax |
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Provider Business Mailing Address
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Address Line | 325 DISTEL CIR
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City | LOS ALTOS
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State | CA
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Zip | 94022-1408
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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 |
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | A185060
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A185060
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License Number State | CA
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