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General NPI Number Information
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NPI Number | 1366515934
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Entity Type | Organization
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Legal Business Name | NHAN HOA COMPREHENSIVE HEALTH CARE CLINIC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 09/06/2007
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Provider Practice Location Address
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Address Line | 14221 EUCLID ST STE H
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4991
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Country | US
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Telephone | 714-539-9999
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Fax | 714-539-9015
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Provider Business Mailing Address
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Address Line | 14221 EUCLID ST STE H
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4991
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Country | US
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Telephone | 714-539-9999
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Fax | 714-539-9015
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Authorized Official
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Title or Position | FAMILY PRACTICE
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Name | THUY ANH PHAM NGUYEN
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Credential |
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Telephone | 714-539-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number | 20A7243
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License Number State | CA
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