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General NPI Number Information
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NPI Number | 1790954188
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Entity Type | Organization
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Legal Business Name | HUY NGUYEN MD LTD
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 5992 FLY FISHER ST
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City | LAS VEGAS
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State | NV
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Zip | 89113-1721
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Country | US
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Telephone | 702-412-3326
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Fax | 702-734-2730
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Provider Business Mailing Address
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Address Line | 5945 S RAINBOW BLVD SUITE 140
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City | LAS VEGAS
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State | NV
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Zip | 89118-2559
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Country | US
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Telephone | 702-450-1717
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Fax | 702-979-9673
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Authorized Official
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Title or Position | PRESIDENT
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Name | HUY NGUYEN
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Credential | MD
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Telephone | 702-412-3326
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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 | 11525
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License Number State | NV
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