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General NPI Number Information
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NPI Number | 1083355861
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Entity Type | Individual
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Provider Name | THINH QUOC NGUYEN
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Gender | Male
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 1364 CLIFTON RD NE
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City | ATLANTA
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State | GA
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Zip | 30322-1059
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Country | US
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Telephone | 404-712-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 794 HALES TRACE WAY SW
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City | LILBURN
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State | GA
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Zip | 30047-4290
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Country | US
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Telephone | 706-763-9293
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN-NP269423
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License Number State | GA
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