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General NPI Number Information
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NPI Number | 1407233695
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Entity Type | Individual
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Provider Name | ANN NGUYEN DEGREY DPT
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Gender | Female
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Dates
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Enumeration Date | 04/27/2015
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Last Update Date | 01/31/2020
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Provider Practice Location Address
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Address Line | 5926 MONTEREY RD
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City | LOS ANGELES
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State | CA
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Zip | 90042-4943
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Country | US
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Telephone | 323-503-1414
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Fax | 323-967-4415
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Provider Business Mailing Address
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Address Line | 3329 COMMUNITY AVE
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City | LA CRESCENTA
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State | CA
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Zip | 91214-2555
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Country | US
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Telephone | 408-966-9241
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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 | 42242
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License Number State | CA
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