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General NPI Number Information
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NPI Number | 1619932506
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Entity Type | Individual
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Provider Name | LINH DAN NGUYEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 05/11/2012
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Provider Practice Location Address
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Address Line | 9940 TALBERT AVE SUITE 303
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5153
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Country | US
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Telephone | 714-378-5606
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Fax | 714-378-5621
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Provider Business Mailing Address
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Address Line | 9940 TALBERT AVE SUITE 303
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5153
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Country | US
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Telephone | 714-378-5606
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Fax | 714-378-5621
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | G80266
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License Number State | CA
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