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General NPI Number Information
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NPI Number | 1669452983
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Entity Type | Individual
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Provider Name | HOA N. NGUYEN MD
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Gender | Male
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 4651 SHERIDAN ST STE 470
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3437
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Country | US
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Telephone | 954-986-6667
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Fax | 954-983-6665
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Provider Business Mailing Address
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Address Line | 4651 SHERIDAN ST STE 470
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3437
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Country | US
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Telephone | 954-986-6667
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Fax | 954-983-6665
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | ME50821
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME50821
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number | ME50821
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | ME50821
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License Number State | FL
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