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General NPI Number Information
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NPI Number | 1982567020
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Entity Type | Individual
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Provider Name | ANDREW NGUYEN RN
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Gender |
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 615 HOBART TER
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City | SANTA CLARA
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State | CA
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Zip | 95051-5620
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Country | US
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Telephone | 408-423-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 42646 SARATOGA PARK ST
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City | FREMONT
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State | CA
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Zip | 94538-3988
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Country | US
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Telephone |
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Fax |
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 847245
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License Number State | CA
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