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General NPI Number Information
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NPI Number | 1114585460
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Entity Type | Individual
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Provider Name | ASHLEY THUY-TRANG NGUYEN MD
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Gender | Female
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Dates
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Enumeration Date | 06/02/2019
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 2000 WASHINGTON ST STE 304
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City | NEWTON
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State | MA
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Zip | 02462-1602
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Country | US
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Telephone | 508-362-0099
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Fax | 508-362-8811
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Provider Business Mailing Address
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Address Line | 2000 WASHINGTON ST STE 304
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City | NEWTON
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State | MA
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Zip | 02462-1602
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Country | US
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Telephone | 508-362-0099
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Fax | 508-362-8811
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 1022019
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License Number State | MA
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