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NPI 1184887580

NPI 1184887580 : AMANDA JEAN MOREHOUSE NGUYEN MD : MOUNT JULIET, TN

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General NPI Number Information
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    NPI Number           |    1184887580
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    Entity Type          |    Individual 
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    Provider Name        |    AMANDA JEAN MOREHOUSE NGUYEN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/07/2008
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    Last Update Date     |    11/03/2025
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Provider Practice Location Address
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    Address Line         |    121 BEAR XING STE 100 
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    City                 |    MOUNT JULIET
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    State                |    TN
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    Zip                  |    37122-4306
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    Country              |    US
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    Telephone            |    615-553-1084
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    Fax                  |    615-553-1115
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Provider Business Mailing Address
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    Address Line         |    2004 HAYES ST STE 800 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37203-2659
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    Country              |    US
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    Telephone            |    615-329-0570
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    Fax                  |    615-329-0579
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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        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    64682
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    57094
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    License Number State |    TN
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