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General NPI Number Information
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NPI Number | 1245674159
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Entity Type | Individual
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Provider Name | KHOA D NGUYEN DO
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Gender | Male
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 915 HIGHLAND BLVD
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City | BOZEMAN
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State | MT
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Zip | 59715-6902
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Country | US
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Telephone | 406-414-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 7808 CLODUS FIELDS DR
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City | DALLAS
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State | TX
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Zip | 75251-2206
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Country | US
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Telephone | 972-991-9504
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2022019697
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS19750
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 72466
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036162523
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20223
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License Number State | ND
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Taxonomy #6
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | EMC0002521
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 116195
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License Number State | MT
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Taxonomy #8
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | Q9213
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 02007643A
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License Number State | IN
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Taxonomy #10
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MB11136400
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License Number State | NJ
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