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General NPI Number Information
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NPI Number | 1316196397
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Entity Type | Individual
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Provider Name | HOANG MINH LAI M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 39755 MURRIETA HOT SPRINGS RD SUITE E-130
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City | MURRIETA
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State | CA
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Zip | 92563-9151
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Country | US
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Telephone | 951-894-1131
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Fax | 951-696-6742
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Provider Business Mailing Address
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Address Line | 39755 MURRIETA HOT SPRINGS RD SUITE E-130
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City | MURRIETA
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State | CA
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Zip | 92563-9151
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Country | US
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Telephone | 951-894-1131
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Fax | 951-696-6742
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 60250309
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A123868
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License Number State | CA
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