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General NPI Number Information
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NPI Number | 1447538327
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Entity Type | Individual
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Provider Name | THOMAS QUANG DO PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2011
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 4909 MURPHY CANYON ROAD SUITE 300
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City | SAN DIEGO
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State | CA
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Zip | 92123
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Country | US
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Telephone | 858-609-0815
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Fax |
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Provider Business Mailing Address
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Address Line | 4909 MURPHY CANYON RD STE 300
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City | SAN DIEGO
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State | CA
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Zip | 92123-4301
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Country | US
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Telephone | 858-268-9800
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Fax | 858-268-9810
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY34515
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License Number State | CA
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