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General NPI Number Information
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NPI Number | 1952354664
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Entity Type | Individual
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Provider Name | ANGELA QUYNH GIAO PHAM M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 16952 VENTURA BLVD
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City | ENCINO
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State | CA
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Zip | 91316-4124
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Country | US
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Telephone | 818-789-3964
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Fax | 818-789-3967
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Provider Business Mailing Address
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Address Line | 21246 LORCA CIR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-5386
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Country | US
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Telephone | 310-268-3342
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Fax | 310-268-4935
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | G77848
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License Number State | CA
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