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General NPI Number Information
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NPI Number | 1689609422
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Entity Type | Individual
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Provider Name | LOC TAN NGUYEN MD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 710 FM 1960 RD W
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City | HOUSTON
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State | TX
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Zip | 77090-3402
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Country | US
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Telephone | 281-440-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 11767 DUART DR
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City | HOUSTON
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State | TX
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Zip | 77024-2619
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Country | US
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Telephone | 713-935-0031
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | J7605
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License Number State | TX
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