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General NPI Number Information
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NPI Number | 1497121685
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Entity Type | Organization
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Legal Business Name | THUC QUYEN NGUYEN MD, PLLC
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Dates
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Enumeration Date | 08/11/2015
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 3219 OMEGA DR
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City | ARLINGTON
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State | TX
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Zip | 76014-2006
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Country | US
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Telephone | 682-323-7553
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Fax | 877-409-1681
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Provider Business Mailing Address
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Address Line | 429 RAMSEY TRL
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City | TROPHY CLUB
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State | TX
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Zip | 76262-9705
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LILIAN VILLANUEVA
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Credential |
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Telephone | 682-323-7553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | P5435
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License Number State | TX
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