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General NPI Number Information
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NPI Number | 1336551431
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Entity Type | Organization
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Legal Business Name | SON NGUYEN, PLLC
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 8000 RED BUG LAKE RD STE 220
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City | OVIEDO
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State | FL
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Zip | 32765-9226
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Country | US
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Telephone | 407-977-2240
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Fax |
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Provider Business Mailing Address
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Address Line | 8000 RED BUG LAKE RD STE 220
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City | OVIEDO
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State | FL
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Zip | 32765-9226
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Country | US
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Telephone | 407-977-2240
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SON NGUYEN
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Credential | MD
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Telephone | 407-977-2240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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