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General NPI Number Information
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NPI Number | 1689103707
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Entity Type | Organization
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Legal Business Name | JOANNA NGUYEN, MD INC
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 03/06/2018
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Provider Practice Location Address
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Address Line | 9201 W SUNSET BLVD STE 718
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-3708
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Country | US
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Telephone | 310-737-8592
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Fax | 310-870-7343
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Provider Business Mailing Address
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Address Line | 9201 W SUNSET BLVD STE 718
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-3708
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Country | US
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Telephone | 310-737-8592
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Fax | 310-870-7343
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOANNA NGUYEN
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Credential | MD
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Telephone | 310-737-8592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A124152
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License Number State | CA
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