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General NPI Number Information
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NPI Number | 1982410684
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Entity Type | Individual
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Provider Name | DANIEL DUY NGUYEN
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Gender | Male
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 11190 WARNER AVE STE 408
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4047
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Country | US
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Telephone | 714-430-1414
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Fax | 714-430-1486
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Provider Business Mailing Address
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Address Line | 11190 WARNER AVE STE 408
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4047
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Country | US
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Telephone | 714-430-1414
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Fax | 714-430-1486
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 66959
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License Number State | CA
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