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General NPI Number Information
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NPI Number | 1710226139
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Entity Type | Individual
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Provider Name | XUYEN KIM HUYNH NP
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Gender | Female
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 02/05/2013
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Provider Practice Location Address
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Address Line | 14221 EUCLID ST SUITE H
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4991
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Country | US
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Telephone | 714-899-9898
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Fax | 714-316-1389
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Provider Business Mailing Address
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Address Line | 8622 CROCKETT CIR
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City | WESTMINSTER
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State | CA
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Zip | 92683-7264
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Country | US
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Telephone | 714-622-4195
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 22544
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License Number State | CA
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