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General NPI Number Information
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NPI Number | 1164868386
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Entity Type | Individual
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Provider Name | MINH-THU THI NGUYEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/14/2013
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Last Update Date | 10/19/2017
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Provider Practice Location Address
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Address Line | 119 OAKFIELD DR
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City | BRANDON
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State | FL
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Zip | 33511-5779
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Country | US
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Telephone | 616-566-8791
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Fax |
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Provider Business Mailing Address
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Address Line | 9 SOMERSET LN UNIT 401
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City | EDGEWATER
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State | NJ
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Zip | 07020-2403
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Country | US
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Telephone | 616-566-8791
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME128228
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA10193100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 076598
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301106042
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License Number State | MI
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