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General NPI Number Information
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NPI Number | 1609194851
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Entity Type | Individual
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Provider Name | HUY MINH NGUYEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 2105 BROADWAY ST APT 2D
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-1315
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Country | US
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Telephone | 800-841-4236
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Fax | 706-653-1230
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Provider Business Mailing Address
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Address Line | PO BOX 678253
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City | DALLAS
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State | TX
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Zip | 75267-8253
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Country | US
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Telephone | 800-841-4236
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Fax | 706-653-1230
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C194260
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | Q8977
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License Number State | TX
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