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General NPI Number Information
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NPI Number | 1558757419
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Entity Type | Individual
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Provider Name | JENNY NHU NGUYEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/07/2015
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 755 N 11TH ST STE P3200
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City | BEAUMONT
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State | TX
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Zip | 77702-1518
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Country | US
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Telephone | 409-899-4111
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Fax |
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Provider Business Mailing Address
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Address Line | 755 N 11TH ST STE P3200
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City | BEAUMONT
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State | TX
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Zip | 77702-1518
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Country | US
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Telephone | 409-899-4111
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Fax | 409-899-5670
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 304290
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | T2696
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License Number State | TX
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