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NPI 1548405103

NPI 1548405103 : HOWARD H. NGUYEN D.O. PA : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1548405103
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOWARD H. NGUYEN D.O. PA 
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Dates
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    Enumeration Date     |    12/11/2008
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    Last Update Date     |    12/11/2008
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Provider Practice Location Address
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    Address Line         |    2261 SINGLETON BLVD 101
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75212-5050
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    Country              |    US
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    Telephone            |    214-630-9559
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    Fax                  |    214-630-4992
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Provider Business Mailing Address
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    Address Line         |    PO BOX 630615 
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    City                 |    IRVING
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    State                |    TX
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    Zip                  |    75063-0130
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    Country              |    US
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    Telephone            |    214-630-9559
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    Fax                  |    214-630-4992
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Authorized Official
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    Title or Position    |    PYSICIAN/OWNER
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    Name                 |     HOWARD H. NGUYEN 
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    Credential           |    D.O.
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    Telephone            |    214-630-9559
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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       |    K0959
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    License Number State |    TX
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