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General NPI Number Information
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NPI Number | 1790107217
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Entity Type | Individual
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Provider Name | HA NGAN NGUYEN NP
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Gender | Female
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Dates
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Enumeration Date | 01/17/2014
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 4710 BELLAIRE BLVD STE 340
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City | BELLAIRE
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State | TX
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Zip | 77401-4530
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Country | US
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Telephone | 713-860-1755
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Fax | 713-277-7219
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Provider Business Mailing Address
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Address Line | 4710 BELLAIRE BLVD STE 340
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City | BELLAIRE
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State | TX
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Zip | 77401-4530
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Country | US
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Telephone |
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Fax | 713-277-7219
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 768826
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License Number State | TX
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