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General NPI Number Information
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NPI Number | 1396123188
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Entity Type | Organization
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Legal Business Name | TRIET M. NGUYEN, M.D., INC.
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 14501 MAGNOLIA ST STE 103
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City | WESTMINSTER
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State | CA
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Zip | 92683-1307
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Country | US
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Telephone | 714-899-0054
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Fax | 714-899-0117
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Provider Business Mailing Address
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Address Line | 14501 MAGNOLIA ST STE 103
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City | WESTMINSTER
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State | CA
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Zip | 92683-1307
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Country | US
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Telephone | 714-899-0054
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Fax | 714-899-0117
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TRIET MINH NGUYEN
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Credential | M.D.
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Telephone | 714-899-0054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G76262
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License Number State | CA
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