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General NPI Number Information
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NPI Number | 1497927883
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Entity Type | Organization
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Legal Business Name | FM HEALTHCARE, PA
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 01/20/2009
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Provider Practice Location Address
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Address Line | 1127 OAKLAND BLVD
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City | FORT WORTH
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State | TX
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Zip | 76103-1123
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Country | US
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Telephone | 817-457-3853
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Fax | 817-457-2794
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Provider Business Mailing Address
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Address Line | 1127 OAKLAND BLVD
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City | FORT WORTH
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State | TX
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Zip | 76103-1123
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Country | US
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Telephone | 817-457-3853
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Fax | 817-457-2794
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Authorized Official
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Title or Position | OWNER
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Name | BINH D NGUYEN
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Credential | D.O.
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Telephone | 817-457-3853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L0452
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License Number State | TX
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