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General NPI Number Information
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NPI Number | 1528197696
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Entity Type | Individual
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Provider Name | THIEN HOANG NGO
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Gender | Male
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9065 EDGEMOOR DR
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City | SANTEE
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State | CA
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Zip | 92071-3037
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Country | US
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Telephone | 619-956-2849
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 JASPER AVE
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City | CHULA VISTA
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State | CA
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Zip | 91911-5333
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Country | US
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Telephone | 619-708-0910
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 33339
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License Number State | CA
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