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General NPI Number Information
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NPI Number | 1528941747
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Entity Type | Organization
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Legal Business Name | DAI PHAM MD INC
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Dates
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Enumeration Date | 07/26/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 8915 WESTMINSTER AVE
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City | GARDEN GROVE
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State | CA
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Zip | 92844-2609
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Country | US
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Telephone | 714-788-5566
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Fax | 714-442-3946
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Provider Business Mailing Address
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Address Line | 11121 PALMWOOD DR
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City | GARDEN GROVE
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State | CA
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Zip | 92840-1254
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Country | US
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Telephone | 714-788-5566
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Fax | 714-442-3946
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAI PHAM
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Credential | MD
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Telephone | 714-797-3599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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