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General NPI Number Information
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NPI Number | 1619384104
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Entity Type | Organization
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Legal Business Name | HNT CARE, INC
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Dates
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Enumeration Date | 07/16/2014
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Last Update Date | 08/20/2015
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Provider Practice Location Address
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Address Line | 12800 GARDEN GROVE BLVD STE A
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City | GARDEN GROVE
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State | CA
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Zip | 92843-2008
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Country | US
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Telephone | 909-838-7061
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Fax |
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Provider Business Mailing Address
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Address Line | 12800 GARDEN GROVE BLVD STE A
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City | GARDEN GROVE
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State | CA
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Zip | 92843-2008
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Country | US
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Telephone | 909-838-7061
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | HAO N THAI
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Credential | MD
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Telephone | 909-838-7061
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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 | A106695
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License Number State | CA
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