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General NPI Number Information
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NPI Number | 1396233193
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Entity Type | Individual
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Provider Name | NATTHAPON ANGSUBHAKORN MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 38656 MEDICAL CENTER DR STE A
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City | PALMDALE
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State | CA
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Zip | 93551-4695
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Country | US
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Telephone | 661-940-4444
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Fax | 661-940-4446
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Provider Business Mailing Address
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Address Line | 11234 ANDERSON ST STE 2426
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City | LOMA LINDA
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State | CA
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Zip | 92354-2804
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Country | US
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Telephone | 909-558-7674
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Fax | 909-651-5938
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | A173894
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License Number State | CA
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