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General NPI Number Information
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NPI Number | 1467460469
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Entity Type | Individual
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Provider Name | KHA KINH HUYNH MD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14445 OLIVE VIEW DRIVE DEPT OF ANESTHESIA 3A113 OLIVE VIEW UCLA MED CENTER
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City | SYLMAR
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State | CA
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Zip | 91342-1495
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Country | US
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Telephone | 818-364-4350
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Fax | 818-364-4775
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Provider Business Mailing Address
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Address Line | 5028 CARMEN STREET
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City | TORRANCE
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State | CA
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Zip | 90503
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Country | US
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Telephone | 310-540-2305
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A62484
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License Number State | CA
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