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General NPI Number Information
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NPI Number | 1811343288
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Entity Type | Individual
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Provider Name | NGHIA NGUYEN
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Gender | Male
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 327 BEACH 19TH ST ST JOHN EPISCOPAL HOSPITAL
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-4423
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Country | US
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Telephone | 718-869-7672
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Fax |
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Provider Business Mailing Address
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Address Line | 5001 BISSONNET ST STE 200
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City | BELLAIRE
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State | TX
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Zip | 77401-4023
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Country | US
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Telephone | 281-701-5457
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Fax | 281-605-6815
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | T3149
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | T3149
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License Number State | TX
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