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General NPI Number Information
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NPI Number | 1619703311
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Entity Type | Individual
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Provider Name | ANHDAO DINH UONG
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Gender | Female
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 24785 STEWART ST RM 201
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City | LOMA LINDA
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State | CA
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Zip | 92350-1721
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Country | US
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Telephone | 909-558-7295
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Fax |
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Provider Business Mailing Address
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Address Line | 12241 LOYA RIVER AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-1330
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Country | US
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Telephone | 714-366-9053
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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 |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA65515
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License Number State | CA
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