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General NPI Number Information
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NPI Number | 1508648270
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Entity Type | Individual
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Provider Name | DUNG NGUYEN NP
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Gender | Male
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Dates
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Enumeration Date | 10/17/2023
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 11417 VETERANS MEMORIAL DR
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City | HOUSTON
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State | TX
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Zip | 77067-2601
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Country | US
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Telephone | 713-955-3919
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Fax |
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Provider Business Mailing Address
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Address Line | 10138 LASABER CT
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City | HOUSTON
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State | TX
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Zip | 77038-2432
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Country | US
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Telephone | 713-922-6572
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1087442
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License Number State | TX
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