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General NPI Number Information
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NPI Number | 1730380478
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Entity Type | Individual
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Provider Name | MICHAEL NGUYEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 2020 PONCE DE LEON BLVD SUITE 103
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City | CORAL GABLES
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State | FL
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Zip | 33134-4474
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Country | US
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Telephone | 786-618-5039
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Fax | 305-397-2227
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Provider Business Mailing Address
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Address Line | 2020 PONCE DE LEON BLVD SUITE 103
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City | CORAL GABLES
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State | FL
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Zip | 33134-4474
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Country | US
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Telephone | 786-618-5039
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Fax | 305-397-2227
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | TRN10915
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 245841
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME-116391
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License Number State | FL
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