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General NPI Number Information
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NPI Number | 1033080783
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Entity Type | Individual
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Provider Name | LINA NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 6320 US HIGHWAY 301 S
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City | RIVERVIEW
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State | FL
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Zip | 33578-3829
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Country | US
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Telephone | 813-419-3386
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Fax |
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Provider Business Mailing Address
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Address Line | 2504 LITHIA PINECREST RD
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City | VALRICO
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State | FL
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Zip | 33596-5036
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Country | US
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Telephone | 813-361-0244
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT5316
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License Number State | FL
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