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General NPI Number Information
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NPI Number | 1790173292
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Entity Type | Individual
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Provider Name | MY-LINH THI NGUYEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/06/2015
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 100 N WIGET LN STE 207
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City | WALNUT CREEK
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State | CA
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Zip | 94598-5901
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Country | US
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Telephone | 925-937-7740
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Fax | 925-933-9868
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Provider Business Mailing Address
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Address Line | 1450 TREAT BLVD # 300
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City | WALNUT CREEK
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State | CA
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Zip | 94597-2168
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Country | US
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Telephone | 925-952-2828
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Fax | 925-689-3857
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A129274
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | A129274
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License Number State | CA
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