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General NPI Number Information
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NPI Number | 1841508504
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Entity Type | Organization
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Legal Business Name | THEM HUYNH M.D., INC.
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 1855 ALUM ROCK AVE STE C
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City | SAN JOSE
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State | CA
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Zip | 95116-1398
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Country | US
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Telephone | 408-254-7524
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Fax | 408-254-7526
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Provider Business Mailing Address
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Address Line | 1855 ALUM ROCK AVE STE C
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City | SAN JOSE
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State | CA
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Zip | 95116-1398
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Country | US
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Telephone | 408-254-7524
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Fax | 408-254-7526
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Authorized Official
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Title or Position | PRESIDENT
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Name | THEM HUYNH
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Credential | M.D.
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Telephone | 408-254-7524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A38341
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License Number State | CA
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