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NPI 1134717200

NPI 1134717200 : DANNA THAO NGUYEN DC : PASADENA, TX

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General NPI Number Information
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    NPI Number           |    1134717200
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    Entity Type          |    Individual 
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    Provider Name        |    DANNA THAO NGUYEN DC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/05/2021
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    Last Update Date     |    03/24/2022
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Provider Practice Location Address
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    Address Line         |    1210 ALLENDALE RD 
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    City                 |    PASADENA
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    State                |    TX
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    Zip                  |    77502-3306
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    Country              |    US
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    Telephone            |    832-582-5301
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    Fax                  |    832-582-5310
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Provider Business Mailing Address
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    Address Line         |    8705 HERON NEST DR 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77064-1740
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    Country              |    US
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    Telephone            |    832-664-0774
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    14586
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    License Number State |    TX
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