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General NPI Number Information
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NPI Number | 1194143693
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Entity Type | Individual
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Provider Name | HUY NGUYEN M.D
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Gender | Male
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 323 S MINNESOTA ST
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City | CROOKSTON
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State | MN
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Zip | 56716-1601
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Country | US
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Telephone | 612-873-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 2150 47TH AVE S APT 329
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City | GRAND FORKS
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State | ND
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Zip | 58201-3611
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Country | US
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Telephone | 651-399-6052
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 67044
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License Number State | MN
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