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General NPI Number Information
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NPI Number | 1497553184
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Entity Type | Individual
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Provider Name | DAVID NGUYEN
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Gender |
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 710 HWY 359 S
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City | BROOKSHIRE
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State | TX
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Zip | 77423
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Country | US
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Telephone | 281-375-5272
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Fax |
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Provider Business Mailing Address
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Address Line | 11814 ALWADI CT
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City | RICHMOND
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State | TX
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Zip | 77406-1152
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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 |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2141221
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License Number State | TX
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