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General NPI Number Information
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NPI Number | 1356209803
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Entity Type | Organization
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Legal Business Name | DESTINATION CARE FAMILY PRACTICE
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 14601 SW 29TH ST STE 302
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City | MIRAMAR
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State | FL
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Zip | 33027-4714
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Country | US
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Telephone | 954-526-6890
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Fax | 754-484-1337
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Provider Business Mailing Address
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Address Line | 14601 SW 29TH ST STE 302
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City | MIRAMAR
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State | FL
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Zip | 33027-4714
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Country | US
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Telephone | 954-526-6890
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Fax | 754-484-1337
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Authorized Official
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Title or Position | PHYSICIAN
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Name | THUAT NGUYEN
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Credential | DO
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Telephone | 305-609-9927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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