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General NPI Number Information
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NPI Number | 1679896104
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Entity Type | Individual
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Provider Name | STEVEN TUAN NGUYEN M.D
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Gender | Male
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 4775 JIMMY CARTER BLVD STE 102
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City | NORCROSS
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State | GA
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Zip | 30093-3752
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Country | US
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Telephone | 678-451-1828
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Fax | 678-451-1829
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Provider Business Mailing Address
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Address Line | 4775 JIMMY CARTER BLVD STE 102
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City | NORCROSS
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State | GA
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Zip | 30093-3752
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Country | US
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Telephone | 678-451-1828
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Fax | 678-451-1829
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 249045
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 065154
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License Number State | GA
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