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General NPI Number Information
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NPI Number | 1992421879
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Entity Type | Individual
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Provider Name | CRISTINA MINH HOANG CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 39675 CEDAR BLVD STE 155
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City | NEWARK
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State | CA
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Zip | 94560-5490
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Country | US
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Telephone | 877-510-0685
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Fax |
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Provider Business Mailing Address
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Address Line | 39655 TRINITY WAY APT 8207
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City | FREMONT
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State | CA
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Zip | 94538-2038
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Country | US
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Telephone | 949-232-8356
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 31428
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License Number State | CA
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