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General NPI Number Information
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NPI Number | 1730999004
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Entity Type | Individual
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Provider Name | FAWNDA NGUYEN RN
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Gender | Female
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 1357 OAKLAND BLVD.
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City | WALNUT CREEK
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State | CA
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Zip | 94596
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Country | US
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Telephone | 925-935-3010
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Fax | 925-932-2231
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Provider Business Mailing Address
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Address Line | 2226 38TH AVE
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City | OAKLAND
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State | CA
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Zip | 94601-3733
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Country | US
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Telephone | 510-705-2639
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9536334
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License Number State | CA
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