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General NPI Number Information
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NPI Number | 1639057631
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Entity Type | Individual
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Provider Name | KIEU TRANG THI NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 801 SAN FERNANDO RD
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City | SAN FERNANDO
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State | CA
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Zip | 91340-3308
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Country | US
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Telephone | 818-639-0012
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Fax |
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Provider Business Mailing Address
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Address Line | 21205 LEMARSH ST
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City | CHATSWORTH
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State | CA
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Zip | 91311-3016
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Country | US
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Telephone | 818-274-4767
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 8027
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License Number State | CA
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