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General NPI Number Information
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NPI Number | 1720261506
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Entity Type | Organization
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Legal Business Name | TINNY QUYNH DOHN, D.O., INC.
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 02/22/2013
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Provider Practice Location Address
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Address Line | 14589 LOS GATOS BLVD
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City | LOS GATOS
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State | CA
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Zip | 95032-7663
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Country | US
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Telephone | 408-356-8672
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Fax | 408-356-7004
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Provider Business Mailing Address
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Address Line | 5170 FELTER RD
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City | SAN JOSE
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State | CA
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Zip | 95132-3403
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Country | US
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Telephone | 408-356-8672
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Fax | 408-272-7773
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TINNY QUYNHTHOA DOHN
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Credential | D.O.
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Telephone | 408-356-8672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A8202
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License Number State | CA
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