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General NPI Number Information
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NPI Number | 1467402370
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Entity Type | Individual
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Provider Name | HONGHANH LISA NGUYEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 06/07/2021
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Provider Practice Location Address
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Address Line | 11016 NEW HAMPSHIRE AVE
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City | SILVER SPRING
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State | MD
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Zip | 20904-2612
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Country | US
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Telephone | 301-681-3300
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Fax | 301-681-4777
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Provider Business Mailing Address
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Address Line | 1509 LAKE NORWOOD WAY
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City | SANDY SPRING
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State | MD
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Zip | 20860-3004
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Country | US
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Telephone | 301-924-9025
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0052961
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License Number State | MD
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