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General NPI Number Information
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NPI Number | 1639238769
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Entity Type | Individual
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Provider Name | HANH DUNG THI NGUYEN DO
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 8420 ABRAMS RD STE 208
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City | DALLAS
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State | TX
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Zip | 75243-7582
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Country | US
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Telephone | 214-341-5630
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Fax | 214-341-5689
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Provider Business Mailing Address
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Address Line | 14860 MONTFORT DR SUITE 140, LB 32
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City | DALLAS
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State | TX
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Zip | 75254-6718
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Country | US
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Telephone | 214-341-5630
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Fax | 214-341-5689
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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 | OS8021
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License Number State | FL
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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 | L0454
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License Number State | TX
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