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General NPI Number Information
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NPI Number | 1265203475
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Entity Type | Individual
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Provider Name | VIVIAN NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 01/16/2024
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-445-8890
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Fax |
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Provider Business Mailing Address
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Address Line | 26900 GEORGE ZEIGER DR APT 217
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City | BEACHWOOD
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State | OH
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Zip | 44122-7609
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Country | US
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Telephone | 937-409-5220
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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 | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number | LD.10370
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD.10370
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License Number State | OH
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