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General NPI Number Information
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NPI Number | 1295904118
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Entity Type | Organization
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Legal Business Name | JON D NGUYEN MD PA
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 14502 SPRING CYPRESS RD # 900
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City | CYPRESS
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State | TX
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Zip | 77429-6665
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Country | US
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Telephone | 832-534-3802
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Fax |
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Provider Business Mailing Address
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Address Line | 14502 SPRING CYPRESS RD # 900
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City | CYPRESS
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State | TX
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Zip | 77429-6665
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Country | US
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Telephone | 832-536-3802
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & SECRETARY
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Name | JON D NGUYEN
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Credential |
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Telephone | 832-534-3801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | M8872
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License Number State | TX
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