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General NPI Number Information
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NPI Number | 1285450148
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Entity Type | Individual
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Provider Name | NHAT-PHI BRIAN PHAN PA-C
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Gender | Male
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 1810 116TH AVE NE STE D1
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City | BELLEVUE
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State | WA
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Zip | 98004-3058
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Country | US
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Telephone | 425-455-2131
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Fax |
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Provider Business Mailing Address
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Address Line | 1810 116TH AVE NE STE D1
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City | BELLEVUE
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State | WA
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Zip | 98004-3058
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Country | US
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Telephone | 425-455-2131
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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 | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number | PA.PA.70057660
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License Number State | WA
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