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General NPI Number Information
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NPI Number | 1609036169
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Entity Type | Organization
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Legal Business Name | THOI LIEN MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 8054 GARVEY AVE STE 201
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City | ROSEMEAD
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State | CA
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Zip | 91770-2449
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Country | US
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Telephone | 626-280-5035
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Fax | 626-280-0428
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Provider Business Mailing Address
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Address Line | 6113 N MUSCATEL AVE
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City | SAN GABRIEL
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State | CA
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Zip | 91775-2624
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Country | US
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Telephone | 626-287-7022
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Fax | 626-280-0428
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. THOI HUE LIEN
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Credential | M.D.
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Telephone | 626-280-5035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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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 |
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License Number State |
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