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General NPI Number Information
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NPI Number | 1710540174
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Entity Type | Individual
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Provider Name | MATTHEW NGUYEN MD
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Gender | Male
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Dates
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Enumeration Date | 04/20/2019
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 1970 W UNIVERSITY DR STE 100
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City | PROSPER
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State | TX
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Zip | 75078-8134
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Country | US
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Telephone | 469-329-7860
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Fax |
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Provider Business Mailing Address
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Address Line | 4351 BOOTH CALLOWAY RD STE 101
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-7319
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Country | US
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Telephone | 817-284-1165
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Fax | 817-590-9721
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | T8608
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License Number State | TX
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