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General NPI Number Information
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NPI Number | 1558001974
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Entity Type | Individual
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Provider Name | CHRISTINA NGUYEN MD
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Gender | Female
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Dates
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Enumeration Date | 04/01/2022
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Last Update Date | 07/12/2025
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Provider Practice Location Address
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Address Line | 3636 N 1ST ST STE 120
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City | FRESNO
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State | CA
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Zip | 93726-6818
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Country | US
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Telephone | 559-224-4365
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Fax |
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Provider Business Mailing Address
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Address Line | 2222 CHERRY STREET MOB 2, SUITE 2300, PEDIATRIC RESIDENCY OFFICE
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City | TOLEDO
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State | OH
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Zip | 43608
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DR0075782
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A203805
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License Number State | CA
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