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General NPI Number Information
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NPI Number | 1467077933
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Entity Type | Organization
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Legal Business Name | KIET A.T. TON, MD, CORP.
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 14024 MAGNOLIA ST STE 104
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City | WESTMINSTER
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State | CA
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Zip | 92683-4766
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Country | US
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Telephone | 714-895-8583
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Fax | 714-895-8625
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Provider Business Mailing Address
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Address Line | 14024 MAGNOLIA ST STE 104
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City | WESTMINSTER
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State | CA
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Zip | 92683-4766
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Country | US
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Telephone | 714-895-8583
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Fax | 714-895-8625
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KIET ANH THAT TON
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Credential | MD
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Telephone | 657-789-0999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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