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General NPI Number Information
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NPI Number | 1952734832
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Entity Type | Organization
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Legal Business Name | NHAN AI MEDICAL GROUP, INC
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Dates
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Enumeration Date | 08/15/2013
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Last Update Date | 10/20/2013
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Provider Practice Location Address
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Address Line | 10900 WESTMINSTER AVE SUITE 8
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4984
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Country | US
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Telephone | 714-386-2404
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Fax | 714-363-5544
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Provider Business Mailing Address
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Address Line | 10900 WESTMINSTER AVE SUITE 8
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4984
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Country | US
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Telephone | 714-386-2404
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Fax | 714-363-5544
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Authorized Official
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Title or Position | OFFICER
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Name | MS. SOPHIE T NGUYEN
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Credential | L.AC., PH.D.
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Telephone | 714-386-2404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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