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General NPI Number Information
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NPI Number | 1336803899
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Entity Type | Individual
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Provider Name | THUYEN NGUYEN
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Gender | Male
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Dates
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Enumeration Date | 10/29/2021
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 8 SALT CREEK LN STE 202
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City | HINSDALE
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State | IL
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Zip | 60521-2903
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Country | US
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Telephone | 630-305-5027
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Fax |
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Provider Business Mailing Address
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Address Line | 164 W FULLERTON AVE
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City | GLENDALE HEIGHTS
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State | IL
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Zip | 60139-2641
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Country | US
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Telephone | 630-251-0489
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | WAITINGONIT
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License Number State | IL
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