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General NPI Number Information
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NPI Number | 1740924059
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Entity Type | Individual
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Provider Name | DON Q PHUNG DO
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Gender | Male
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Dates
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Enumeration Date | 04/22/2022
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 11420 WARNER AVENUE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708
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Country | US
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Telephone | 714-549-1300
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Fax | 714-433-3100
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Provider Business Mailing Address
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Address Line | 11420 WARNER AVENUE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708
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Country | US
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Telephone | 714-549-1300
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Fax | 714-433-3100
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20A22022
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License Number State | CA
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