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General NPI Number Information
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NPI Number | 1235247024
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Entity Type | Individual
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Provider Name | THO H NGUYEN DPM
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 06/15/2011
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Provider Practice Location Address
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Address Line | 10409 HICKORY PATH WAY
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City | KNOXVILLE
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State | TN
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Zip | 37922-3296
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Country | US
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Telephone | 423-802-3239
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Fax | 866-714-6553
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Provider Business Mailing Address
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Address Line | 10409 HICKORY PATH WAY
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City | KNOXVILLE
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State | TN
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Zip | 37922-3296
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Country | US
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Telephone | 423-802-3239
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Fax | 866-714-6553
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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 | 542
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 000777
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License Number State | GA
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