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General NPI Number Information
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NPI Number | 1174844344
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Entity Type | Organization
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Legal Business Name | BAY AREA URGENT CARE, PLLC
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 06/22/2010
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Provider Practice Location Address
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Address Line | 720 W NASA
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City | WEBSTER
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State | TX
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Zip | 77598-4906
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Country | US
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Telephone | 832-932-5990
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Fax | 832-932-5992
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Provider Business Mailing Address
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Address Line | 720 W NASA
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City | WEBSTER
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State | TX
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Zip | 77598-4906
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Country | US
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Telephone | 832-932-5990
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Fax | 832-932-5992
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. MAI PHOUNG NGUYEN
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Credential | MD
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Telephone | 832-932-5990
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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 | K6661
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License Number State | TX
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