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General NPI Number Information
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NPI Number | 1205030889
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Entity Type | Individual
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Provider Name | AUDREY NGOC NGUYEN MD
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Gender | Female
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 08/07/2018
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Provider Practice Location Address
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Address Line | 6431 FANNIN ST MSB 1.274
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 713-500-6833
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Fax |
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Provider Business Mailing Address
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Address Line | 7 BRIAR DALE CT APT A
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City | HOUSTON
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State | TX
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Zip | 77027-2925
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Country | US
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Telephone | 512-577-3321
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | P4213
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | P4213
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License Number State | TX
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