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General NPI Number Information
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NPI Number | 1336790591
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Entity Type | Individual
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Provider Name | THUHIEN THI NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 09/27/2019
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 701 S ABEL ST
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City | MILPITAS
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State | CA
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Zip | 95035-5243
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Country | US
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Telephone | 408-957-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 1075 E SANTA CLARA ST
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City | SAN JOSE
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State | CA
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Zip | 95116-2244
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Country | US
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Telephone | 408-410-0665
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY20622
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License Number State | CA
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