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General NPI Number Information
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NPI Number | 1144785437
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Entity Type | Individual
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Provider Name | HUY C NGUYEN MD
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Gender | Male
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Dates
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Enumeration Date | 01/31/2019
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 200 MERCY CIRCLE
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City | CAMP PENDLETON
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State | CA
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Zip | 92055
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Country | US
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Telephone | 760-719-4061
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Fax | 760-725-1303
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Provider Business Mailing Address
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Address Line | 519 CORBIN OAK RDG
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City | GRAYSON
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State | GA
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Zip | 30017-7865
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Country | US
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Telephone | 404-754-2081
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | 0101270240
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License Number State | VA
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