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General NPI Number Information
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NPI Number | 1235406083
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Entity Type | Organization
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Legal Business Name | THOMAS B. NGUYEN, M.D., P.A.
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Dates
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Enumeration Date | 11/22/2011
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Last Update Date | 11/22/2011
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Provider Practice Location Address
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Address Line | 2309 W WOOLBRIGHT RD SUITE 2
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-6366
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Country | US
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Telephone | 561-634-7262
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Fax | 561-634-7265
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Provider Business Mailing Address
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Address Line | 2309 W WOOLBRIGHT RD SUITE 2
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-6366
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Country | US
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Telephone | 561-634-7262
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Fax | 561-634-7265
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS B. NGUYEN
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Credential | M.D.
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Telephone | 561-634-7262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME105343
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License Number State | FL
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