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General NPI Number Information
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NPI Number | 1528622719
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Entity Type | Individual
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Provider Name | QUANG DUONG
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Gender | Male
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Dates
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Enumeration Date | 04/24/2019
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 3150 WATERMAN WAY
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City | TAVARES
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State | FL
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Zip | 32778-5252
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Country | US
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Telephone | 352-253-3251
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Fax | 352-253-3644
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Provider Business Mailing Address
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Address Line | PO BOX 935921
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City | ATLANTA
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State | GA
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Zip | 31193-5921
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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 | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | 11000466
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11000466
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License Number State | FL
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