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General NPI Number Information
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NPI Number | 1851952030
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Entity Type | Individual
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Provider Name | KEVIN HUYNH NP
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Gender | Male
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | 1225 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90017-1901
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Country | US
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Telephone | 213-977-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 680 COLORADO CIR
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City | CARSON
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State | CA
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Zip | 90745-2855
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Country | US
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Telephone | 714-606-0666
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95012025
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License Number State | CA
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