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General NPI Number Information
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NPI Number | 1700721172
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Entity Type | Individual
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Provider Name | PHUOC NGUYEN MS, RDN, LDN
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Gender | Female
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 3766 BENSON PARK BLVD
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City | ORLANDO
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State | FL
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Zip | 32829-7337
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Country | US
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Telephone | 407-962-5253
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 95TH ST APT 1
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City | BAY HARBOR ISLANDS
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State | FL
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Zip | 33154-2113
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Country | US
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Telephone | 407-962-5253
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND14900
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License Number State | FL
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