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General NPI Number Information
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NPI Number | 1326635442
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Entity Type | Individual
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Provider Name | JENNIFER NGUYEN DPT
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Gender | Female
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Dates
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Enumeration Date | 12/22/2020
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 4600 ELDORADO PKWY STE 100
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City | MCKINNEY
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State | TX
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Zip | 75070-5760
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Country | US
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Telephone | 972-608-3855
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 MCKINNEY PLACE DR APT 1136
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City | MCKINNEY
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State | TX
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Zip | 75070-1746
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Country | US
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Telephone | 214-518-1284
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3125841
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License Number State | TX
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