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General NPI Number Information
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NPI Number | 1164617577
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Entity Type | Organization
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Legal Business Name | SON N GIEP M D P A
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 05/18/2021
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Provider Practice Location Address
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Address Line | 6124 W. PARKER RD SUITE 330
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City | PLANO
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State | TX
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Zip | 75093
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Country | US
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Telephone | 972-370-3083
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Fax | 214-501-2266
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Provider Business Mailing Address
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Address Line | 6124 W. PARKER RD SUITE 330
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City | PLANO
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State | TX
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Zip | 75093
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Country | US
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Telephone | 972-370-3083
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Fax | 214-501-2266
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Authorized Official
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Title or Position | PHYSICIAN / OWNER
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Name | SON NGUYEN GIEP
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Credential | MD
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Telephone | 972-370-3083
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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 | L0199
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License Number State | TX
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