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General NPI Number Information
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NPI Number | 1801522404
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Entity Type | Individual
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Provider Name | ANH DUC NGUYEN NP
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Gender | Male
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 972-322-0278
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Fax |
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Provider Business Mailing Address
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Address Line | 2506 RODEO CT
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City | GARLAND
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State | TX
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Zip | 75044-4696
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1032830
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License Number State | TX
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