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General NPI Number Information
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NPI Number | 1215109400
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Entity Type | Organization
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Legal Business Name | LAM NGUYEN MD PMC
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 05/27/2022
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Provider Practice Location Address
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Address Line | 1322 ELTON RD SUITE E
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City | JENNINGS
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State | LA
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Zip | 70546-4100
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Country | US
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Telephone | 337-824-6835
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Fax | 337-824-8741
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Provider Business Mailing Address
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Address Line | 1322 ELTON RD SUITE E
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City | JENNINGS
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State | LA
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Zip | 70546-4100
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Country | US
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Telephone | 337-824-6835
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Fax | 337-824-8741
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAM D NGUYEN
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Credential | MD
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Telephone | 337-824-6835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 021553
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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