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General NPI Number Information
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NPI Number | 1629462395
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Entity Type | Individual
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Provider Name | HUY NGUYEN D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2015
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 1301 JUSTIN RD STE 208
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City | LEWISVILLE
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State | TX
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Zip | 75077-2150
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Country | US
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Telephone | 972-317-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 7045 WHISPERFIELD DR
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City | PLANO
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State | TX
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Zip | 75024-7473
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Country | US
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Telephone | 214-636-5177
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 12870
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License Number State | TX
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