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General NPI Number Information
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NPI Number | 1679299937
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Entity Type | Individual
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Provider Name | THAONGUYEN THI HOANG AGACNP
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Gender | Female
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Dates
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Enumeration Date | 10/18/2022
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 10864 TEXAS HEALTH TRL
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City | FORT WORTH
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State | TX
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Zip | 76244-4897
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Country | US
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Telephone | 817-436-6880
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Fax | 682-212-9301
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Provider Business Mailing Address
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Address Line | 2142 SICILY LN
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City | HASLET
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State | TX
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Zip | 76052-1855
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1096256
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License Number State | TX
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