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General NPI Number Information
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NPI Number | 1356928105
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Entity Type | Organization
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Legal Business Name | HEALTHCHOICE PRIMARY CARE INC
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 10737 CAMINO RUIZ STE 143
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City | SAN DIEGO
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State | CA
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Zip | 92126-2361
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Country | US
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Telephone | 619-776-5295
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Fax |
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Provider Business Mailing Address
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Address Line | 10737 CAMINO RUIZ STE 143
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City | SAN DIEGO
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State | CA
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Zip | 92126-2361
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Country | US
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Telephone | 858-290-1800
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. NGOC X NGUYEN
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Credential | MD
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Telephone | 858-290-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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