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1659346435 NPI number — DAT TIEN NGUYEN MD

NPI Number: 1659346435
Health Care Provider/Practitioner: DAT TIEN NGUYEN MD

Information about “1659346435” NPI (DAT TIEN NGUYEN MD) exists in 1659346435 in HTML format HTML  |  1659346435 in plain Text format TXT  |  1659346435 in PDF (Portable Document Format) PDF  |  1659346435 in an XML format XML  formats.

NPI Number : 1659346435 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659346435",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NGUYEN",
    "FirstName": "DAT",
    "MiddleName": "TIEN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NGUYEN",
    "OtherFirstName": "DAT",
    "OtherMiddleName": "TEIN",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2324 SANTA RITA RD",
    "SecondLineMailingAddress": "SUITE 6",
    "MailingAddressCityName": "PLEASANTON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94566-4152",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "925-460-3205",
    "MailingAddressFaxNumber": "925-460-3795",
    "FirstLinePracticeLocationAddress": "4601 DALE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MODESTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95356-9718",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "209-735-4385",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/23/2006",
    "LastUpdateDate": "01/10/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "G75447",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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