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NPI 1649131657

NPI 1649131657 : NICOLE VUONG DC : IRVING, TX

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General NPI Number Information
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    NPI Number           |    1649131657
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    Entity Type          |    Individual 
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    Provider Name        |    NICOLE VUONG DC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/19/2025
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    Last Update Date     |    11/19/2025
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Provider Practice Location Address
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    Address Line         |    4000 N MACARTHUR BLVD STE 111 
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    City                 |    IRVING
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    State                |    TX
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    Zip                  |    75038-6400
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    Country              |    US
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    Telephone            |    469-565-2354
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    Fax                  |    877-301-3534
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Provider Business Mailing Address
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    Address Line         |    4326 EMERSON DR 
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    City                 |    GRAND PRAIRIE
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    State                |    TX
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    Zip                  |    75052-4002
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    Country              |    US
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    Telephone            |    
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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       |    16599
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    License Number State |    TX
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