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General NPI Number Information
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NPI Number | 1407097561
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Entity Type | Organization
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Legal Business Name | H. Q. NGUYEN, MD, INC.
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 10/09/2009
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Provider Practice Location Address
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Address Line | 7055 N. CHESTNUT AVE. STE # 103
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City | FRESNO
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State | CA
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Zip | 93720-0350
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Country | US
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Telephone | 559-840-2170
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Fax | 559-840-1204
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Provider Business Mailing Address
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Address Line | 7055 N CHESTNUT AVE SUITE #103
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City | FRESNO
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State | CA
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Zip | 93720-0350
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Country | US
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Telephone | 559-840-2170
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Fax | 559-840-1204
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Authorized Official
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Title or Position | PRESIDENT
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Name | HUONG QUYNH NGUYEN
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Credential | MD
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Telephone | 559-840-2170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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