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General NPI Number Information
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NPI Number | 1730735523
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Entity Type | Individual
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Provider Name | VINCENT HUYNH PT, DPT, CSCS
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Gender | Male
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Dates
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Enumeration Date | 08/16/2019
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Last Update Date | 08/16/2019
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Provider Practice Location Address
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Address Line | 10921 WILSHIRE BLVD STE 1208
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City | LOS ANGELES
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State | CA
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Zip | 90024-4005
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Country | US
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Telephone | 424-260-2974
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Fax | 424-260-2980
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Provider Business Mailing Address
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Address Line | 112 E LINDA VISTA AVE
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City | ALHAMBRA
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State | CA
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Zip | 91801-4811
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Country | US
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Telephone | 626-230-2980
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT297011
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License Number State | CA
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