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General NPI Number Information
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NPI Number | 1548681604
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Entity Type | Individual
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Provider Name | ANNA Q NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 12/17/2013
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 30 ROCKEFELLER PLZ STE 924-E
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City | NEW YORK
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State | NY
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Zip | 10112-0015
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Country | US
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Telephone | 212-664-2322
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Fax |
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Provider Business Mailing Address
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Address Line | 30 ROCKEFELLER PLZ STE 924-E
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City | NEW YORK
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State | NY
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Zip | 10112-0015
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Country | US
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Telephone | 212-664-2322
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN190664
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License Number State | GA
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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 | 338341
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License Number State | NY
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