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General NPI Number Information
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NPI Number | 1720933179
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Entity Type | Organization
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Legal Business Name | THUY Q. PHAM MD, APC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 11420 WARNER AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2529
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Country | US
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Telephone | 714-595-1737
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Fax |
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Provider Business Mailing Address
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Address Line | 765 THE CITY DR S STE 150
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City | ORANGE
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State | CA
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Zip | 92868-6920
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Country | US
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Telephone | 714-595-1737
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Fax |
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Authorized Official
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Title or Position | MSO MANAGER
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Name | MILLI PHAN
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Credential |
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Telephone | 714-595-1737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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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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