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General NPI Number Information
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NPI Number | 1336326552
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Entity Type | Organization
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Legal Business Name | THE NGUYEN CENTER, INC.
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 2500 NESCONSET HWY SUITE 4D
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City | STONY BROOK
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State | NY
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Zip | 11790-2555
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Country | US
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Telephone | 631-689-6500
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Fax | 631-689-6521
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Provider Business Mailing Address
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Address Line | 2500 NESCONSET HWY SUITE 4D
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City | STONY BROOK
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State | NY
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Zip | 11790-2555
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Country | US
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Telephone | 631-689-6500
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Fax | 631-689-6521
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MR. LAWRENCE HOWARD FINE
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Credential |
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Telephone | 631-751-6611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | NYS-193693
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License Number State | NY
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