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General NPI Number Information
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NPI Number | 1659394419
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Entity Type | Individual
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Provider Name | QUOC AI NGUYEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 13362 BROOKHURST ST
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City | GARDEN GROVE
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State | CA
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Zip | 92843-3153
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Country | US
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Telephone | 714-534-4471
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Fax | 714-534-4481
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Provider Business Mailing Address
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Address Line | 13362 BROOKHURST ST
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City | GARDEN GROVE
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State | CA
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Zip | 92843-3153
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Country | US
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Telephone | 714-534-4471
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Fax | 714-534-4481
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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 | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | G75928
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License Number State | CA
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