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General NPI Number Information
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NPI Number | 1841311172
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Entity Type | Organization
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Legal Business Name | NGA P. DIEP, D.C.,P.C.
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4480 SPRING MOUNTAIN RD STE 700
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City | LAS VEGAS
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State | NV
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Zip | 89102-8771
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Country | US
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Telephone | 702-222-4780
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Fax |
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Provider Business Mailing Address
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Address Line | 8406 MONDAVI HILL COURT
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City | LAS VEGAS
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State | NV
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Zip | 89139
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Country | US
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Telephone | 702-734-8181
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. NGA PHUONG DIEP
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Credential | D.C.
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Telephone | 702-222-4780
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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 | B00869
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License Number State | NV
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