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General NPI Number Information
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NPI Number | 1730270380
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Entity Type | Individual
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Provider Name | TUAN NGUYEN MD
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 4141 FAIRMOUNT AVE SUITE #201
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City | SAN DIEGO
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State | CA
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Zip | 92105-1609
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Country | US
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Telephone | 858-278-5293
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Fax | 619-278-5393
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Provider Business Mailing Address
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Address Line | PO BOX 420988
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City | SAN DIEGO
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State | CA
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Zip | 92142-0988
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Country | US
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Telephone | 619-563-4040
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Fax | 619-563-1204
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | G68761
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License Number State | CA
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