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General NPI Number Information
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NPI Number | 1659556967
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Entity Type | Individual
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Provider Name | HOANG NHU NGUYEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2008
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 2880 ATLANTIC AVE STE 180
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City | LONG BEACH
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State | CA
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Zip | 90806-1736
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Country | US
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Telephone | 562-426-2606
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Fax |
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Provider Business Mailing Address
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Address Line | 3465 TORRANCE BLVD STE S
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City | TORRANCE
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State | CA
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Zip | 90503-5804
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Country | US
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Telephone | 310-792-3914
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G72589
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License Number State | CA
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