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General NPI Number Information
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NPI Number | 1528488780
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Entity Type | Individual
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Provider Name | DIEP NGUYEN MSOT
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Gender | Female
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Dates
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Enumeration Date | 04/25/2014
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Last Update Date | 04/25/2014
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Provider Practice Location Address
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Address Line | 1039 E EL CAMINO REAL
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City | SUNNYVALE
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State | CA
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Zip | 94087-7719
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Country | US
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Telephone | 408-720-8498
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Fax |
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Provider Business Mailing Address
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Address Line | 3442 GEMINI LN
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City | SAN JOSE
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State | CA
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Zip | 95111-2326
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Country | US
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Telephone | 408-489-3063
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 14285
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License Number State | CA
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