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General NPI Number Information
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NPI Number | 1245867274
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Entity Type | Individual
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Provider Name | CHRISTOPHER MINH NGUYEN DO
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Gender | Male
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 3351 WATERVIEW PKWY
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City | RICHARDSON
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State | TX
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Zip | 75080-1449
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Country | US
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Telephone | 972-398-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 6 ESTATES RD
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City | LUCAS
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State | TX
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Zip | 75002-7624
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Country | US
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Telephone |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | V0824
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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