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General NPI Number Information
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NPI Number | 1568128239
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Entity Type | Individual
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Provider Name | JULIA NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1310 SOUTHERN AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20032-4623
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Country | US
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Telephone | 202-741-2911
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Fax |
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Provider Business Mailing Address
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Address Line | 1824 OAK CREEK DR APT 301
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City | PALO ALTO
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State | CA
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Zip | 94304-2140
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Country | US
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Telephone | 408-796-9835
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110008573
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA200001400
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License Number State | DC
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