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General NPI Number Information
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NPI Number | 1316929813
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Entity Type | Individual
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Provider Name | LAM DUY NGUYEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1322 ELTON RD STE E
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City | JENNINGS
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State | LA
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Zip | 70546-4100
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Country | US
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Telephone | 337-824-6835
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Fax | 337-824-8741
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Provider Business Mailing Address
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Address Line | PO BOX 122152 DEPT 2152
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City | DALLAS
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State | TX
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Zip | 75312-0001
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Country | US
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Telephone | 337-494-2921
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Fax | 337-494-6523
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 021553
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD.021553
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License Number State | LA
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