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General NPI Number Information
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NPI Number | 1649158742
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Entity Type | Individual
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Provider Name | UYEN THI NGOC NGUYEN PHD
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Gender | Female
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 408 MAMARONECK AVE
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City | MAMARONECK
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State | NY
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Zip | 10543-2613
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Country | US
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Telephone | 917-300-1332
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Fax |
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Provider Business Mailing Address
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Address Line | 18 VAN CORLEAR PL
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City | BRONX
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State | NY
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Zip | 10463-6707
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Country | US
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Telephone | 626-257-4833
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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