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General NPI Number Information
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NPI Number | 1003243957
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Entity Type | Organization
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Legal Business Name | ADVANCED BONE & JOINT CARE PLLC
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Dates
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Enumeration Date | 10/07/2013
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Last Update Date | 06/06/2014
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Provider Practice Location Address
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Address Line | 3629 WESTERN CENTER BLVD STE 221
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City | FORT WORTH
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State | TX
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Zip | 76137-1940
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Country | US
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Telephone | 817-232-9115
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Fax |
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Provider Business Mailing Address
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Address Line | 1327 E PIONEER PKWY
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City | ARLINGTON
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State | TX
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Zip | 76010-5868
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Country | US
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Telephone | 817-265-8777
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Fax | 817-265-0802
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Authorized Official
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Title or Position | MANAGER
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Name | DR. YEN NGUYEN
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Credential | M.D.
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Telephone | 817-265-8777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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