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General NPI Number Information
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NPI Number | 1538160783
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Entity Type | Organization
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Legal Business Name | NGUYEN TRINH & GRIMES INC
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | 9746 WESTMINSTER AVE STE D4
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City | GARDEN GROVE
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State | CA
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Zip | 92844-2984
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Country | US
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Telephone | 714-636-1881
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Fax | 714-636-4433
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Provider Business Mailing Address
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Address Line | 9746 WESTMINSTER AVE STE D4
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City | GARDEN GROVE
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State | CA
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Zip | 92844-2984
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Country | US
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Telephone | 714-636-1881
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Fax | 714-636-4433
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Authorized Official
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Title or Position | PRESIDENT
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Name | BINH NGUYEN NGO
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Credential |
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Telephone | 714-626-1881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY47433
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License Number State | CA
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