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General NPI Number Information
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NPI Number | 1871897801
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Entity Type | Organization
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Legal Business Name | ANTONI K NGUYEN PROFESSIONAL CHIRO CORPORATION
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Dates
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Enumeration Date | 01/05/2011
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Last Update Date | 10/05/2012
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Provider Practice Location Address
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Address Line | 13382 GOLDENWEST ST SUITE 213
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City | WESTMINSTER
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State | CA
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Zip | 92683-2247
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Country | US
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Telephone | 714-898-8484
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Fax |
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Provider Business Mailing Address
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Address Line | 13382 GOLDENWEST ST SUITE 213
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City | WESTMINSTER
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State | CA
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Zip | 92683-2247
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Country | US
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Telephone | 714-898-8484
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTONI KIEN NGUYEN
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Credential | D.C.
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Telephone | 714-898-8484
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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 | 28140
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 28140
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License Number State | CA
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