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General NPI Number Information
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NPI Number | 1467564773
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Entity Type | Individual
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Provider Name | NHUAN NGUYEN TONG M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9091 EDINGER AVE SUITE D
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City | WESTMINSTER
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State | CA
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Zip | 92683-7458
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Country | US
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Telephone | 714-897-5673
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Fax | 714-898-6304
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Provider Business Mailing Address
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Address Line | 9091 EDINGER AVE SUITE D
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City | WESTMINSTER
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State | CA
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Zip | 92683-7458
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Country | US
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Telephone | 714-897-5673
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Fax | 714-898-6304
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A34670
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License Number State | CA
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