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General NPI Number Information
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NPI Number | 1821189937
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Entity Type | Individual
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Provider Name | HIEP CONG NGUYEN MD
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 04/29/2024
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-4910
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Country | US
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Telephone | 352-265-0535
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Fax | 352-627-4173
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Provider Business Mailing Address
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Address Line | PO BOX 100286
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City | GAINESVILLE
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State | FL
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Zip | 32610-0286
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Country | US
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Telephone | 352-265-0535
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Fax | 352-627-4173
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | C10004586
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | ME138061
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License Number State | FL
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