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General NPI Number Information
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NPI Number | 1407274673
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Entity Type | Individual
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Provider Name | JAMES NGUYEN MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 1605 W FAIRBANKS AVE
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City | WINTER PARK
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State | FL
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Zip | 32789-4603
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Country | US
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Telephone | 407-845-8356
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Fax | 407-845-8357
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Provider Business Mailing Address
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Address Line | 400 E COLONIAL DR APT 1507
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City | ORLANDO
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State | FL
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Zip | 32803-4517
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Country | US
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Telephone | 408-952-9349
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME0150899
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License Number State | FL
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