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General NPI Number Information
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NPI Number | 1225293442
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Entity Type | Individual
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Provider Name | ROBERT NGUYEN DPM
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Gender | Male
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 2699 STIRLING RD SUITE A301/302
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-6517
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Country | US
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Telephone | 954-278-3890
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Fax | 954-251-1470
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Provider Business Mailing Address
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Address Line | 10273 SW 24TH ST
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City | MIRAMAR
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State | FL
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Zip | 33025-6507
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Country | US
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Telephone | 630-688-1240
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO3297
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License Number State | FL
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