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General NPI Number Information
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NPI Number | 1134331085
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Entity Type | Organization
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Legal Business Name | NGUYEN FAMILY MEDICINE, PA
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 8420 ABRAMS RD STE 208
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City | DALLAS
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State | TX
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Zip | 75243-7582
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Country | US
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Telephone | 214-341-5630
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Fax | 214-341-5689
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Provider Business Mailing Address
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Address Line | 8420 ABRAMS RD STE 208
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City | DALLAS
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State | TX
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Zip | 75243-7582
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Country | US
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Telephone | 214-341-5630
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Fax | 214-341-5689
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. HANH DUNG THI NGUYEN
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Credential |
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Telephone | 214-341-5630
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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 | 058021
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L0454
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License Number State | TX
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