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General NPI Number Information
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NPI Number | 1821307588
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Entity Type | Organization
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Legal Business Name | TRI V NGUYEN ANESTHESIOLOGIST INC
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 12894 HARBOR BLVD
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City | GARDEN GROVE
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State | CA
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Zip | 92840-5807
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Country | US
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Telephone | 714-537-4400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1809
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City | ORANGE
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State | CA
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Zip | 92856-0809
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Country | US
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Telephone | 714-560-1580
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Fax | 714-560-1585
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TRI V. NGUYEN
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Credential | M.D.
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Telephone | 562-331-1703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A99027
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License Number State | CA
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