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General NPI Number Information
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NPI Number | 1669663654
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Entity Type | Individual
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Provider Name | THIEN-AN NONESUPPLIED NGUYEN MD
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Gender | Female
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 05/20/2010
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Provider Practice Location Address
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Address Line | 6029 BELT LINE RD
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City | DALLAS
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State | TX
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Zip | 75254-9109
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Country | US
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Telephone | 972-385-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 506 HUGH WALKER DR
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City | MESQUITE
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State | TX
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Zip | 75149-2694
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N5909
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License Number State | TX
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