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General NPI Number Information
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NPI Number | 1356594378
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Entity Type | Organization
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Legal Business Name | HUNG THE NGUYEN, MDPA
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 12/02/2008
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Provider Practice Location Address
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Address Line | 925 WRIGHT ST
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City | ARLINGTON
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State | TX
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Zip | 76012-4731
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Country | US
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Telephone | 817-801-5704
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Fax | 817-801-5707
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Provider Business Mailing Address
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Address Line | 925 WRIGHT ST
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City | ARLINGTON
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State | TX
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Zip | 76012-4731
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Country | US
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Telephone | 817-801-5704
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Fax | 817-801-5707
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HUNG THE NGUYEN
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Credential | M.D.
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Telephone | 817-801-5704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | M5854
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License Number State | TX
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