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General NPI Number Information
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NPI Number | 1811914732
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Entity Type | Organization
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Legal Business Name | VAN THE NGUYEN, M.D.
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 9196 BOLSA AVE
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City | WESTMINSTER
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State | CA
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Zip | 92683-5556
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Country | US
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Telephone | 714-898-5951
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Fax |
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Provider Business Mailing Address
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Address Line | 9196 BOLSA AVE
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City | WESTMINSTER
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State | CA
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Zip | 92683-5556
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICINE DOCTOR
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Name | DR. VAN THE NGUYEN
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Credential |
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Telephone | 714-898-5951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | C41180
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License Number State | CA
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