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General NPI Number Information
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NPI Number | 1558881821
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Entity Type | Organization
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Legal Business Name | ALOTUS MEDICAL CENTER, PC.
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 06/27/2017
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Provider Practice Location Address
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Address Line | 4463 BIRCH ST SUITE 105
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City | NEWPORT BEACH
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State | CA
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Zip | 92660
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Country | US
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Telephone | 714-345-1441
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Fax |
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Provider Business Mailing Address
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Address Line | 4463 BIRCH ST SUITE 105
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City | NEWPORT BEACH
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State | CA
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Zip | 92660
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Country | US
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Telephone | 714-345-1441
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KHOI DINH NGUYEN
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Credential | M.D.
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Telephone | 714-345-1441
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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 | A51519
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License Number State | CA
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