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General NPI Number Information
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NPI Number | 1013353663
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Entity Type | Individual
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Provider Name | STEVEN NGUYEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/21/2013
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Last Update Date | 03/07/2019
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Provider Practice Location Address
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Address Line | 3635 VISTA AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63110-2539
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Country | US
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Telephone | 314-577-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 17213 ATKINSON AVE
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City | TORRANCE
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State | CA
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Zip | 90504-2639
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Country | US
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Telephone | 310-780-3405
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2017028828
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License Number State | MO
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