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General NPI Number Information
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NPI Number | 1205890498
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Entity Type | Individual
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Provider Name | NATHALIE T NGUYEN MD
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Gender | Female
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 12/23/2021
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Provider Practice Location Address
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Address Line | 10725 INTERNATIONAL DR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-7967
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Country | US
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Telephone | 916-631-2730
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Fax | 916-631-2710
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Provider Business Mailing Address
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Address Line | DEPT OF RADIATION ONCOLOGY 10725 INTERNATIONAL DRIVE
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670
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Country | US
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Telephone | 916-631-2730
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Fax | 916-631-2710
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | A89545
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License Number State | CA
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