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General NPI Number Information
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NPI Number | 1023185030
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Entity Type | Individual
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Provider Name | RICHARD THE NGUYEN DO
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 15965 LOS GATOS BLVD STE 201
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City | LOS GATOS
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State | CA
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Zip | 95032-3415
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Country | US
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Telephone | 408-358-1855
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Fax | 408-356-4183
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Provider Business Mailing Address
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Address Line | 15965 LOS GATOS BLVD STE 201
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City | LOS GATOS
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State | CA
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Zip | 95032-3415
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Country | US
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Telephone | 408-358-1855
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Fax | 408-356-4183
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | DO1813
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 20A10031
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License Number State | CA
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