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General NPI Number Information
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NPI Number | 1235268517
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Entity Type | Individual
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Provider Name | TRI MINH NGUYEN MD
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Gender | Male
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 10/16/2014
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Provider Practice Location Address
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Address Line | 6570 STAGE RD STE 245
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City | BARTLETT
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State | TN
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Zip | 38134-2840
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Country | US
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Telephone | 901-746-9888
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Fax | 901-746-9854
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Provider Business Mailing Address
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Address Line | 6570 STAGE RD STE 245
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City | BARTLETT
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State | TN
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Zip | 38134-2840
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Country | US
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Telephone | 901-746-9888
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Fax | 901-746-9854
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 42877
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License Number State | TN
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