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General NPI Number Information
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NPI Number | 1801935002
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Entity Type | Individual
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Provider Name | PHUONG T NGUYEN D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 9475 HEIL AVE D
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2258
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Country | US
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Telephone | 562-652-7630
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Fax | 714-528-4636
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Provider Business Mailing Address
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Address Line | 212 ROSKELLY WAY
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City | PLACENTIA
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State | CA
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Zip | 92870-7461
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Country | US
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Telephone | 562-652-7630
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Fax | 714-528-4636
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC28708
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License Number State | CA
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