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General NPI Number Information
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NPI Number | 1265797229
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Entity Type | Individual
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Provider Name | PRESTON NGUYEN TANG MPH
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Gender | Male
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 3811 W CHARLESTON BLVD STE 205
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City | LAS VEGAS
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State | NV
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Zip | 89102-1846
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Country | US
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Telephone | 702-486-0482
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Fax | 775-850-1144
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Provider Business Mailing Address
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Address Line | 3811 W CHARLESTON BLVD STE 205
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City | LAS VEGAS
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State | NV
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Zip | 89102-1846
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Country | US
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Telephone | 702-486-0482
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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Taxonomy #6
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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