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General NPI Number Information
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NPI Number | 1568792927
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Entity Type | Individual
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Provider Name | TRINH T NGUYEN R.N., P.H.N
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Gender | Female
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Dates
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Enumeration Date | 01/07/2010
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 2880 STORY RD
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City | SAN JOSE
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State | CA
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Zip | 95127-3942
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Country | US
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Telephone | 408-605-6158
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Fax |
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Provider Business Mailing Address
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Address Line | 2676 ORINDA DR
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City | SAN JOSE
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State | CA
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Zip | 95121-1231
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Country | US
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Telephone | 408-605-6158
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 750645
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 75923
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20799
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License Number State | CA
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