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General NPI Number Information
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NPI Number | 1053356949
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Entity Type | Organization
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Legal Business Name | LINH B. NGUYEN, MD, PA
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5265 PARK BLVD SUITE 100
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City | PINELLAS PARK
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State | FL
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Zip | 33781-3451
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Country | US
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Telephone | 727-545-9590
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Fax | 727-548-8590
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Provider Business Mailing Address
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Address Line | 5265 PARK BLVD SUITE 100
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City | PINELLAS PARK
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State | FL
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Zip | 33781-3451
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Country | US
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Telephone | 727-545-9590
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Fax | 727-548-8590
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LINH BAO NGUYEN
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Credential | M.D.
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Telephone | 727-545-9590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME 83186
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License Number State | FL
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