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General NPI Number Information
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NPI Number | 1275596827
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Entity Type | Individual
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Provider Name | LINH C NGUYEN M.D., M.S., CPE
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Gender | Male
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 14780 W. MOUNTAIN VIEW BLVD. SUITE 110
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City | SURPRISE
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State | AZ
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Zip | 85374-7280
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Country | US
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Telephone | 623-374-7774
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Fax | 623-240-1110
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Provider Business Mailing Address
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Address Line | 14780 W. MOUNTAIN VIEW BLVD. SUITE 110
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City | SURPRISE
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State | AZ
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Zip | 85374-7280
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Country | US
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Telephone | 623-374-7774
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Fax | 623-240-1110
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35198
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35198
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 35198
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35198
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License Number State | AZ
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