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General NPI Number Information
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NPI Number | 1134512379
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Entity Type | Individual
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Provider Name | HUY NGUYEN DPM
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Gender | Male
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 05/25/2020
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Provider Practice Location Address
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Address Line | 13007 SUMMERFIELD SQUARE DR
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City | RIVERVIEW
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State | FL
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Zip | 33578-7402
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Country | US
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Telephone | 813-522-6522
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Fax | 813-658-6238
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Provider Business Mailing Address
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Address Line | 6910 NEOPOLITAN CT
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City | APOLLO BEACH
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State | FL
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Zip | 33572-1604
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Country | US
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Telephone | 510-206-7935
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Fax | 813-658-6238
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO3908
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License Number State | FL
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