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General NPI Number Information
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NPI Number | 1700863644
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Entity Type | Individual
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Provider Name | MARIANNE NGA NGUYEN MD
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Gender | Female
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Dates
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Enumeration Date | 12/30/2005
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 8341 WESTMINSTER BLVD STE 104
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City | WESTMINSTER
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State | CA
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Zip | 92683-8337
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Country | US
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Telephone | 714-622-5133
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Fax | 714-622-5641
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Provider Business Mailing Address
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Address Line | 8341 WESTMINSTER BLVD STE 104
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City | WESTMINSTER
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State | CA
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Zip | 92683-8337
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Country | US
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Telephone | 714-622-5133
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Fax | 714-622-5641
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A55741
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License Number State | CA
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