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General NPI Number Information
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NPI Number | 1669147625
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Entity Type | Organization
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Legal Business Name | PHYSICIAN PARTNERS MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 08/12/2021
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Last Update Date | 11/12/2023
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Provider Practice Location Address
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Address Line | 15571 BROOKHURST ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-7554
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Country | US
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Telephone | 714-902-9523
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Fax | 714-902-9671
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Provider Business Mailing Address
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Address Line | 15571 BROOKHURST ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-7554
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Country | US
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Telephone | 714-902-9523
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Fax | 714-902-9671
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Authorized Official
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Title or Position | PHYSICIAN
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Name | THU THUY TERRI HUYNH
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Credential | MD
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Telephone | 714-902-9523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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