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General NPI Number Information
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NPI Number | 1801402912
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Entity Type | Individual
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Provider Name | VIVIAN NGUYEN DUONG FNP
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Gender | Female
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 3500 BARRANCA PKWY STE 300
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City | IRVINE
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State | CA
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Zip | 92606-8232
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Country | US
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Telephone | 949-788-1133
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Fax | 949-788-1136
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Provider Business Mailing Address
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Address Line | 13446 N MACKAY CT
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City | TUSTIN
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State | CA
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Zip | 92782-9044
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Country | US
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Telephone | 949-439-4080
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95014855
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95014855
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License Number State | CA
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