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General NPI Number Information
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NPI Number | 1619041407
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Entity Type | Individual
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Provider Name | CHAU HOANG NGUYEN DO
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 1821 WESTINGHOUSE RD STE 1190
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City | GEORGETOWN
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State | TX
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Zip | 78626-7645
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Country | US
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Telephone | 512-348-6399
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Fax | 512-895-9698
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Provider Business Mailing Address
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Address Line | 1821 WESTINGHOUSE RD STE 1190
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City | GEORGETOWN
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State | TX
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Zip | 78626-7645
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Country | US
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Telephone | 512-348-6399
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Fax | 512-895-9698
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 370
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N0313
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License Number State | TX
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