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General NPI Number Information
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NPI Number | 1891713897
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Entity Type | Individual
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Provider Name | LOC TAN NGUYEN D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 10292 WESTMINSTER AVE.
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4830
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Country | US
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Telephone | 714-530-7500
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Fax | 714-530-7555
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Provider Business Mailing Address
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Address Line | P.O. BOX 11104
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City | WESTMINSTER
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State | CA
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Zip | 92685-1104
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Country | US
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Telephone | 714-530-7500
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Fax | 714-530-7555
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 20331
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License Number State | CA
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