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General NPI Number Information
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NPI Number | 1629273271
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Entity Type | Individual
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Provider Name | SON XUAN NGUYEN MD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 06/27/2011
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Provider Practice Location Address
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Address Line | 400 W ARBROOK BLVD SUITE 331
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City | ARLINGTON
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State | TX
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Zip | 76014-3174
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Country | US
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Telephone | 807-468-7000
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Fax | 817-468-7003
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Provider Business Mailing Address
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Address Line | 400 W ARBROOK BLVD SUITE 331
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City | ARLINGTON
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State | TX
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Zip | 76014-3174
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Country | US
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Telephone | 807-468-7000
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Fax | 817-468-7003
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | M5855
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | M5855
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | M5855
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License Number State | TX
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