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General NPI Number Information
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NPI Number | 1437419082
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Entity Type | Individual
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Provider Name | LIA H NGUYEN FNP
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Gender | Female
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 303 LOMA DR SUITE 202
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City | LOS ANGELES
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State | CA
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Zip | 90017-1103
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Country | US
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Telephone | 213-201-5800
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Fax | 213-201-5840
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Provider Business Mailing Address
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Address Line | 6000 N FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90042-4232
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Country | US
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Telephone | 323-254-5291
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Fax | 323-254-4618
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 741334
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License Number State | CA
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