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General NPI Number Information
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NPI Number | 1285861724
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Entity Type | Organization
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Legal Business Name | TUAN DUC NGUYEN CHIROPRACTIC INC.
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Dates
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Enumeration Date | 06/11/2009
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Last Update Date | 09/27/2016
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Provider Practice Location Address
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Address Line | 10666 CHAPMAN AVE # 3
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City | GARDEN GROVE
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State | CA
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Zip | 92840-3103
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Country | US
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Telephone | 714-554-5304
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Fax | 714-554-6052
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Provider Business Mailing Address
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Address Line | PO BOX 280
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City | ATWOOD
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State | CA
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Zip | 92811-0280
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Country | US
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Telephone | 714-554-5304
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Fax | 714-554-6052
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Authorized Official
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Title or Position | PRESIDENT
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Name | TUAN DUC NGUYEN
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Credential | DC
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Telephone | 714-554-5304
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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 | 22941
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License Number State | CA
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