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General NPI Number Information
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NPI Number | 1992240634
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Entity Type | Organization
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Legal Business Name | TUANJAY A. NGUYEN
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Dates
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Enumeration Date | 01/05/2017
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 483 PINE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-2803
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Country | US
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Telephone | 415-872-9376
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Fax |
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Provider Business Mailing Address
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Address Line | 483 PINE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-2803
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Country | US
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Telephone | 415-298-4387
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TUANJAY A NGUYEN
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Credential | PT
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Telephone | 415-298-4387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 35509
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License Number State | CA
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