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General NPI Number Information
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NPI Number | 1548080344
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Entity Type | Organization
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Legal Business Name | HUYENLAN DINH, DO, PC
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 18113 MAGNOLIA ST
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5647
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Country | US
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Telephone | 302-354-2725
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Fax |
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Provider Business Mailing Address
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Address Line | 26318 PASEO LLUVIA
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-5058
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Country | US
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Telephone | 302-354-2725
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DR. HUYENLAN DINH
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Credential | DO
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Telephone | 302-354-2725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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