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General NPI Number Information
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NPI Number | 1285524041
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Entity Type | Individual
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Provider Name | TUAN TINSLEY CADTP SUDRC
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Gender | Male
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 2521 LONG BEACH AVE
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City | LOS ANGELES
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State | CA
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Zip | 90058-1324
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Country | US
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Telephone | 213-529-0963
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Fax |
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Provider Business Mailing Address
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Address Line | 11741 BRIMLEY ST
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City | NORWALK
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State | CA
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Zip | 90650-3904
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Country | US
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Telephone | 562-474-4151
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 21783
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License Number State | CA
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