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General NPI Number Information
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NPI Number | 1861636037
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Entity Type | Individual
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Provider Name | TUAN ANH NGUYEN D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/30/2009
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 3440 E LA PALMA AVE
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City | ANAHEIM
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State | CA
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Zip | 92806-2020
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Country | US
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Telephone | 714-644-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 345 SHERIDAN AVE APT 106
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City | PALO ALTO
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State | CA
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Zip | 94306-2034
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Country | US
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Telephone | 949-370-2418
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 11012792A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 20A11388
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License Number State | CA
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