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General NPI Number Information
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NPI Number | 1356998223
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Entity Type | Individual
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Provider Name | TRANG M NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 08/24/2019
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 2115 HIGH ST
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City | OAKLAND
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State | CA
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Zip | 94601-4335
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Country | US
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Telephone | 510-536-4684
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Fax |
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Provider Business Mailing Address
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Address Line | 2027 FILBERT ST
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City | OAKLAND
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State | CA
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Zip | 94607-2827
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Country | US
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Telephone | 408-896-8924
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 103315
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License Number State | CA
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