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General NPI Number Information
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NPI Number | 1457775058
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Entity Type | Individual
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Provider Name | LIEN THUY NGUYEN PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 2411 BOONVILLE RD
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City | BRYAN
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State | TX
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Zip | 77808-2231
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Country | US
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Telephone | 979-775-0911
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Fax |
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Provider Business Mailing Address
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Address Line | 2411 BOONVILLE RD
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City | BRYAN
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State | TX
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Zip | 77808-2231
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Country | US
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Telephone | 979-775-0911
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA09085
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License Number State | TX
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