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General NPI Number Information
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NPI Number | 1386000438
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Entity Type | Individual
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Provider Name | TRI NGUYEN PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 01/06/2016
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Provider Practice Location Address
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Address Line | 5 HARRIS CT BLDG T #102
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City | MONTEREY
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State | CA
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Zip | 93940-5750
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Country | US
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Telephone | 831-372-3579
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Fax |
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Provider Business Mailing Address
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Address Line | 127 BROOKSIDE PL
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City | MARINA
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State | CA
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Zip | 93933-2107
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Country | US
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Telephone | 831-241-0148
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 43352
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License Number State | CA
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