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General NPI Number Information
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NPI Number | 1912909698
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Entity Type | Individual
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Provider Name | LIEN GIAO DOAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2605 W ORANGETHORPE AVE SUITE A
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City | FULLERTON
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State | CA
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Zip | 92833-4209
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Country | US
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Telephone | 714-871-2850
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Fax | 714-871-4380
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Provider Business Mailing Address
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Address Line | 2605 W ORANGETHORPE AVE SUITE A
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City | FULLERTON
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State | CA
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Zip | 92833-4209
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Country | US
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Telephone | 714-871-2850
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Fax | 714-871-4380
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A66684
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License Number State | CA
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