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General NPI Number Information
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NPI Number | 1215750260
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Entity Type | Individual
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Provider Name | DUYEN THI BICH NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 11827 FOUNDERS ST
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City | ORLANDO
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State | FL
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Zip | 32832-6392
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Country | US
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Telephone | 571-325-8245
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Fax |
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Provider Business Mailing Address
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Address Line | 11827 FOUNDERS ST
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City | ORLANDO
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State | FL
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Zip | 32832-6392
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Country | US
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Telephone | 571-325-8245
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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 | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | G182671
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License Number State | FL
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