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NPI 1548757768

NPI 1548757768 : DIANA NGUYEN DO : FRISCO, TX

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General NPI Number Information
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    NPI Number           |    1548757768
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    Entity Type          |    Individual 
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    Provider Name        |    DIANA NGUYEN DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/13/2018
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    Last Update Date     |    05/02/2025
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Provider Practice Location Address
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    Address Line         |    6930 PARKWOOD BLVD 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75034-7441
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    Country              |    US
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    Telephone            |    945-204-7940
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    Fax                  |    945-204-7941
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Provider Business Mailing Address
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    Address Line         |    PO BOX 733784 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75373-3784
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    Country              |    US
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    Telephone            |    682-885-6483
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    Fax                  |    682-303-7132
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    T0583
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    License Number State |    TX
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