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General NPI Number Information
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NPI Number | 1457854937
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Entity Type | Individual
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Provider Name | VICTORIA NGUYEN SLPA
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Gender | Female
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 03/12/2018
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Provider Practice Location Address
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Address Line | 1201 N WATSON RD STE 220
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City | ARLINGTON
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State | TX
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Zip | 76006-6120
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Country | US
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Telephone | 817-422-9203
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Fax |
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Provider Business Mailing Address
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Address Line | 531 HAWTHORNE DR
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City | MURPHY
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State | TX
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Zip | 75094-3545
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Country | US
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Telephone | 469-867-6023
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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 | 246Q00000X
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Taxonomy Name | Pathology Specialist/Technologist
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License Number | 37767
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License Number State | TX
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