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General NPI Number Information
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NPI Number | 1891759486
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Entity Type | Individual
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Provider Name | NGHIEM DUC DANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14571 MAGNOLIA ST SUITE 208
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City | WESTMINSTER
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State | CA
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Zip | 92683-5574
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Country | US
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Telephone | 714-379-6245
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Fax | 714-379-6247
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Provider Business Mailing Address
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Address Line | 14571 MAGNOLIA ST SUITE 208
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City | WESTMINSTER
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State | CA
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Zip | 92683-5574
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Country | US
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Telephone | 714-379-6245
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Fax | 714-379-6247
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A39045
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License Number State | CA
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