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General NPI Number Information
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NPI Number | 1124211164
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Entity Type | Organization
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Legal Business Name | ACCESS PRONTO FAMILY MEDICINE P A
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 2918 17TH ST
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City | SAINT CLOUD
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State | FL
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Zip | 34769-6018
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Country | US
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Telephone | 407-892-8887
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Fax | 407-892-8878
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Provider Business Mailing Address
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Address Line | 2918 17TH ST
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City | SAINT CLOUD
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State | FL
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Zip | 34769-6018
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Country | US
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Telephone | 407-892-8887
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Fax | 407-892-8878
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Authorized Official
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Title or Position | OWNER
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Name | DR. HANSON VAN NGUYEN
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Credential | M.D.
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Telephone | 850-435-8300
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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 | ME95889
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License Number State | FL
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