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General NPI Number Information
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NPI Number | 1356723605
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Entity Type | Organization
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Legal Business Name | PACIFIC FAMILY MEDICINE CLINIC INC
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Dates
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Enumeration Date | 06/23/2015
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 1001 BROADWAY STE 302
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City | MILLBRAE
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State | CA
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Zip | 94030-1978
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Country | US
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Telephone | 650-689-5431
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 BROADWAY SUITE 302
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City | MILLBRAE
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State | CA
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Zip | 94030-1977
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Country | US
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Telephone | 650-689-5431
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. THANH HUYNH
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Credential | MD
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Telephone | 650-689-5431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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