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General NPI Number Information
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NPI Number | 1346406568
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Entity Type | Individual
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Provider Name | VAN H. NGUYEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2008
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Last Update Date | 04/14/2023
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Provider Practice Location Address
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Address Line | 7800 SHERIDAN ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-2536
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Country | US
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Telephone | 713-385-5164
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Fax |
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Provider Business Mailing Address
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Address Line | 14858 SW 34TH ST
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City | DAVIE
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State | FL
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Zip | 33331-2711
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Country | US
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Telephone | 713-385-5164
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101247037
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | RESIDENT
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME149512
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License Number State | FL
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