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General NPI Number Information
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NPI Number | 1821296716
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Entity Type | Individual
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Provider Name | HANH NGUYEN-MILLER L.AC, DAOM
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Gender | Female
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11540 SANTA MONICA BLVD SUITE 204
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City | LOS ANGELES
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State | CA
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Zip | 90025-7905
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Country | US
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Telephone | 310-922-0030
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Fax |
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Provider Business Mailing Address
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Address Line | 1507 FEDERAL AVE UNIT 6
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City | LOS ANGELES
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State | CA
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Zip | 90025-2933
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Country | US
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Telephone | 310-922-0030
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC8016
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License Number State | CA
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