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General NPI Number Information
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NPI Number | 1518688332
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Entity Type | Individual
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Provider Name | HIEU NGUYEN
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Gender | Male
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Dates
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Enumeration Date | 09/09/2022
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 1000 WALLACE WAY
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City | GRANDVIEW
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State | WA
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Zip | 98930-8805
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Country | US
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Telephone | 509-882-3444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | TOPPENISH
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State | WA
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Zip | 98948-0190
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Country | US
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Telephone | 509-865-2395
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 715047
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 404613
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61646275
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License Number State | WA
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