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General NPI Number Information
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NPI Number | 1346534534
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Entity Type | Individual
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Provider Name | NGOC ANH ANH NGUYEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/05/2011
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Last Update Date | 05/29/2014
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Provider Practice Location Address
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Address Line | 500 W MEDICAL CENTER BLVD
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City | WEBSTER
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State | TX
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Zip | 77598-4220
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Country | US
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Telephone | 281-338-3105
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 W DALLAS ST APT 426
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City | HOUSTON
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State | TX
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Zip | 77019-4296
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Country | US
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Telephone | 713-459-9084
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | P9415
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License Number State | TX
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