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General NPI Number Information
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NPI Number | 1558280560
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Entity Type | Individual
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Provider Name | NINA NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 906 BURWOOD ST SE
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City | LACEY
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State | WA
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Zip | 98503-1817
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Country | US
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Telephone | 360-951-4396
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Fax | 360-485-4959
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Provider Business Mailing Address
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Address Line | 906 BURWOOD ST SE
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City | LACEY
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State | WA
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Zip | 98503-1817
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Country | US
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Telephone | 360-951-4396
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Fax | 360-485-4959
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number | F3E6T3T3
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License Number State | WA
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