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General NPI Number Information
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NPI Number | 1730910191
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Entity Type | Individual
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Provider Name | MINHSANG JACQUELINE DINH DPT
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Gender | Female
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Dates
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Enumeration Date | 08/08/2024
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 805 AEROVISTA PL STE 104
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7921
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Country | US
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Telephone | 805-543-7771
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Fax | 805-543-7761
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Provider Business Mailing Address
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Address Line | 3530 E LA PALMA AVE APT 130
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City | ANAHEIM
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State | CA
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Zip | 92806-2148
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Country | US
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Telephone | 209-623-3778
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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 | 306617
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License Number State | CA
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