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General NPI Number Information
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NPI Number | 1386149862
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Entity Type | Individual
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Provider Name | NGUYEN HOANG
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Gender | Male
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 3400 COTTAGE WAY, STE G2 #30038
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City | SACRAMENTO
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State | CA
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Zip | 95825
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Country | US
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Telephone | 805-215-5173
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Fax |
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Provider Business Mailing Address
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Address Line | 2321 DARWIN ST
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City | HAYWARD
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State | CA
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Zip | 94545-3448
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Country | US
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Telephone | 805-215-5173
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 14220191-2506
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-47351
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License Number State | CA
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