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General NPI Number Information
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NPI Number | 1548988710
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Entity Type | Organization
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Legal Business Name | NGUYEN PODIATRY DPM PC
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 420 74TH ST
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City | BROOKLYN
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State | NY
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Zip | 11209-2602
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Country | US
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Telephone | 646-974-8723
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Fax |
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Provider Business Mailing Address
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Address Line | 15018 41ST AVE
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City | FLUSHING
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State | NY
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Zip | 11354-4945
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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 | PRESIDENT
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Name | DR. VU NGUYEN
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Credential |
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Telephone | 646-974-8723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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