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General NPI Number Information
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NPI Number | 1821484403
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Entity Type | Individual
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Provider Name | HEAJUNG NGUYEN MD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2015
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 1011 BALDWIN PARK BLVD CARDIOLOGY DEPT, BALDWIN PARK MEDICAL CENTER
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City | BALDWIN PARK
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State | CA
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Zip | 91706-5806
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Country | US
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Telephone | 626-851-5215
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 BALDWIN PARK BLVD DEPARTMENT OF CARDIOLOGY
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City | BALDWIN PARK
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State | CA
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Zip | 91706-5806
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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 |
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | A149005
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License Number State | CA
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