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General NPI Number Information
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NPI Number | 1649374638
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Entity Type | Individual
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Provider Name | ANH THIEN NGO MD
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Gender | Female
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 09/20/2018
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Provider Practice Location Address
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Address Line | 480 S. BEACH BLVD SUITE 213
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City | ANAHEIM
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State | CA
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Zip | 92804
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Country | US
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Telephone | 714-879-4963
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Fax | 714-821-8905
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Provider Business Mailing Address
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Address Line | 480 S. BEACH BLVD SUITE 213
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City | ANAHEIM
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State | CA
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Zip | 92804
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Country | US
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Telephone | 714-879-4963
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Fax | 714-821-8905
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | G74933
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | A054744
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License Number State | CA
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