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General NPI Number Information
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NPI Number | 1518566108
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Entity Type | Organization
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Legal Business Name | VU NGUYEN CORP
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 10/23/2020
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Provider Practice Location Address
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Address Line | 8622 BAY PKWY STE 2B
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City | BROOKLYN
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State | NY
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Zip | 11214-4170
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Country | US
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Telephone | 347-702-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 115 E 61ST ST LOWR LEVEL
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City | NEW YORK
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State | NY
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Zip | 10065-8183
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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 | PRESIDENT
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Name | DR. VU NGUYEN
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Credential | DPM
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Telephone | 347-702-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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