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General NPI Number Information
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NPI Number | 1639096233
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Entity Type | Individual
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Provider Name | ANDREW PHUOC-HUNG NGUYEN
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Gender | Male
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Dates
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Enumeration Date | 07/03/2026
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Last Update Date | 07/03/2026
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Provider Practice Location Address
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Address Line | 1551 HAMILTON AVE
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City | SAN JOSE
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State | CA
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Zip | 95125-4540
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Country | US
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Telephone | 800-913-2615
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Fax |
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Provider Business Mailing Address
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Address Line | 3052 POSTWOOD DR
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City | SAN JOSE
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State | CA
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Zip | 95132-1136
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Country | US
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Telephone | 408-828-3212
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | E0281494
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License Number State | CA
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