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General NPI Number Information
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NPI Number | 1558353060
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Entity Type | Individual
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Provider Name | LINH PETER NGUYEN D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 749 STORY RD SUITE 20
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City | SAN JOSE
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State | CA
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Zip | 95122-2600
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Country | US
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Telephone | 408-794-2088
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Fax | 408-292-2179
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Provider Business Mailing Address
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Address Line | 749 STORY RD SUITE 20
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City | SAN JOSE
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State | CA
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Zip | 95122-2600
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Country | US
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Telephone | 408-794-2088
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Fax | 408-292-2179
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A7360
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License Number State | CA
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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 | 20A7360
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License Number State | CA
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