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General NPI Number Information
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NPI Number | 1336162858
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Entity Type | Individual
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Provider Name | THUY THI-MINH NGUYEN MD
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 9695 BASELINE RD
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-1314
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Country | US
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Telephone | 909-941-0920
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Fax | 909-941-0940
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Provider Business Mailing Address
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Address Line | 5879 JACKSON PL
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739-2435
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Country | US
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Telephone | 951-283-8553
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Fax | 909-941-0940
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A80322
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License Number State | CA
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