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General NPI Number Information
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NPI Number | 1649619685
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Entity Type | Individual
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Provider Name | ANTHONY NGUYEN MD
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Gender | Male
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 09/26/2019
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Provider Practice Location Address
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Address Line | 2312 N NEVADA AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-5302
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Country | US
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Telephone | 909-919-6183
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Fax |
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Provider Business Mailing Address
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Address Line | 5803 LOCKHEED AVE STE 200
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City | LOVELAND
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State | CO
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Zip | 80538-7027
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Country | US
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Telephone | 970-221-9451
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Fax | 855-856-6479
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | DR.0061822
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License Number State | CO
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