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General NPI Number Information
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NPI Number | 1679053466
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Entity Type | Individual
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Provider Name | CHRISTOPHER NGUYEN
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Gender | Male
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Dates
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Enumeration Date | 08/21/2018
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | 15015 CYPRESS WOOD MEDICAL DR
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City | HOUSTON
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State | TX
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Zip | 77014-1461
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Country | US
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Telephone | 608-828-1586
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Fax |
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Provider Business Mailing Address
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Address Line | 12410 W LTL YORK RD APT 1328
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City | HOUSTON
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State | TX
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Zip | 77041-4320
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Country | US
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Telephone | 832-443-3313
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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