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General NPI Number Information
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NPI Number | 1043617962
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Entity Type | Individual
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Provider Name | THOMAS T NGUYEN PSY.D., LP
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Gender | Male
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1919 UNIVERSITY AVE W STE 200
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City | SAINT PAUL
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State | MN
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Zip | 55104
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Country | US
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Telephone | 651-266-7999
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Fax | 651-266-7850
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Provider Business Mailing Address
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Address Line | 2136 FORD PKWY # 5108
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City | SAINT PAUL
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State | MN
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Zip | 55116-2850
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Country | US
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Telephone | 651-432-0400
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Fax | 651-432-0420
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY004835
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | LP5801
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License Number State | MN
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