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General NPI Number Information
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NPI Number | 1427435247
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Entity Type | Individual
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Provider Name | SYLVIA MINH HAN PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 04/30/2015
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 1311 S ANAHEIM BLVD
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City | ANAHEIM
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State | CA
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Zip | 92805-6202
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Country | US
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Telephone | 714-635-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 1421 S HIGHLAND AVE APT M
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City | FULLERTON
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State | CA
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Zip | 92832-3381
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Country | US
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Telephone | 603-391-7062
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 52434
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License Number State | CA
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