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General NPI Number Information
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NPI Number | 1679747216
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Entity Type | Individual
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Provider Name | ANTONY NGUYEN VANBANG MD
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Gender | Male
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 09/13/2017
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Provider Practice Location Address
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Address Line | 1701 S FEDERAL BLVD # D
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City | DENVER
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State | CO
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Zip | 80219-4898
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Country | US
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Telephone | 303-936-1760
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Fax | 303-934-4036
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Provider Business Mailing Address
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Address Line | 1701 S FEDERAL BLVD # D
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City | DENVER
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State | CO
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Zip | 80219-4898
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Country | US
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Telephone | 303-936-1760
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Fax | 303-934-4036
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | DR.0054747
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 13674
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License Number State | NE
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