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General NPI Number Information
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NPI Number | 1275669541
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Entity Type | Organization
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Legal Business Name | ARLINGTON MINOR EMERGENCY CLINIC PA
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 912 E PARK ROW DR
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City | ARLINGTON
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State | TX
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Zip | 76010-4507
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Country | US
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Telephone | 817-277-2977
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Fax | 817-277-4750
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Provider Business Mailing Address
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Address Line | PO BOX 301085
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City | ARLINGTON
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State | TX
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Zip | 76007-1085
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Country | US
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Telephone | 817-277-2977
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Fax | 817-277-4750
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Authorized Official
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Title or Position | DOCTOR
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Name | THAO QUI NGUYEN
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Credential | D.O.
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Telephone | 817-277-2977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | J9242
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License Number State | TX
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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 | J9242
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License Number State | TX
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