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General NPI Number Information
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NPI Number | 1437314879
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Entity Type | Individual
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Provider Name | HUNG M NGUYEN MD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 7000 HC KELLEY RD
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City | ORLANDO
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State | FL
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Zip | 32831-2518
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Country | US
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Telephone | 407-207-7360
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Fax |
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Provider Business Mailing Address
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Address Line | 8221 LOST LAKE DR
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City | ORLANDO
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State | FL
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Zip | 32817-1533
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Country | US
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Telephone | 407-679-9738
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Fax | 407-679-9738
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 21215
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 07907R
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN56
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License Number State | FL
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