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General NPI Number Information
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NPI Number | 1457676983
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Entity Type | Organization
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Legal Business Name | SON VAN NGUYEN MD INC
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Dates
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Enumeration Date | 03/27/2010
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Last Update Date | 03/27/2010
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Provider Practice Location Address
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Address Line | 7101 MLK JR WAY S SUITE # 217
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City | SEATTLE
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State | WA
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Zip | 98118-3594
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Country | US
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Telephone | 206-722-7786
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Fax | 206-722-7884
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Provider Business Mailing Address
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Address Line | 7101 MLK JR WAY S SUITE # 217
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City | SEATTLE
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State | WA
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Zip | 98118-3594
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Country | US
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Telephone | 206-722-7786
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Fax | 206-722-7784
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SON VAN NGUYEN
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Credential |
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Telephone | 206-722-7786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD00033569
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License Number State | WA
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