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General NPI Number Information
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NPI Number | 1609078377
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Entity Type | Individual
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Provider Name | GIANG HONG DUC SON D.P.M
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Gender | Male
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 1620 PENNSYLVANIA AVE SUITE A
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City | FAIRFIELD
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State | CA
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Zip | 94533-3551
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Country | US
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Telephone | 707-426-5644
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Fax | 707-426-3156
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Provider Business Mailing Address
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Address Line | 1620 PENNSYLVANIA AVE SUITE A
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City | FAIRFIELD
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State | CA
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Zip | 94533-3551
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Country | US
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Telephone | 707-426-5644
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Fax | 707-426-3156
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E4726
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License Number State | CA
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