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General NPI Number Information
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NPI Number | 1134681778
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Entity Type | Individual
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Provider Name | CHRISTOPHER V NGUYEN DO
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Gender | Male
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 2360 GUS THOMASSON RD
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City | DALLAS
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State | TX
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Zip | 75228-3005
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Country | US
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Telephone | 214-301-7071
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746079
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City | ATLANTA
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State | GA
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Zip | 30374-6079
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Country | US
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Telephone | 312-733-9730
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DO3470
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | V2182
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License Number State | TX
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