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General NPI Number Information
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NPI Number | 1346786829
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Entity Type | Organization
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Legal Business Name | PINEMONT MEDICAL
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 01/09/2017
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Provider Practice Location Address
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Address Line | 5400 PINEMONT DR SUITE 108
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City | HOUSTON
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State | TX
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Zip | 77092-3429
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Country | US
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Telephone | 713-263-7483
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Fax | 713-263-7484
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Provider Business Mailing Address
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Address Line | 5400 PINEMONT DR SUITE 108
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City | HOUSTON
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State | TX
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Zip | 77092
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Country | US
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Telephone | 713-263-7483
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Fax | 713-263-7484
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Authorized Official
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Title or Position | OWNER
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Name | DR. THU ANH NGUYEN
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Credential | DO
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Telephone | 713-263-7483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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