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General NPI Number Information
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NPI Number | 1275484941
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Entity Type | Individual
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Provider Name | MICHAEL-NAM QUOC NGUYEN APRN, AGACNP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 3500 W WHEATLAND RD
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City | DALLAS
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State | TX
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Zip | 75237-3460
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Country | US
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Telephone | 214-960-5681
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Fax |
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Provider Business Mailing Address
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Address Line | 4712 CYPRESS THORN DR
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City | ARLINGTON
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State | TX
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Zip | 76005-1308
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Country | US
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Telephone | 702-505-7272
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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 | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 1226141
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1226141
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License Number State | TX
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