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NPI 1326119090

NPI 1326119090 : TUAN DUC NGUYEN D.C : GARDEN GROVE, CA

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General NPI Number Information
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    NPI Number           |    1326119090
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    Entity Type          |    Individual 
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    Provider Name        |    TUAN DUC NGUYEN D.C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/13/2006
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    Last Update Date     |    09/16/2016
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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    |    
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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        |    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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