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General NPI Number Information
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NPI Number | 1821470998
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Entity Type | Individual
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Provider Name | VIRGINIA NGUYEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 600 GRESHAM DR
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City | NORFOLK
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State | VA
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Zip | 23507-1904
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Country | US
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Telephone | 757-388-6402
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Fax | 757-961-6440
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Provider Business Mailing Address
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Address Line | 600 GRESHAM DR STE 8620
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City | NORFOLK
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State | VA
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Zip | 23507-1904
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Country | US
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Telephone | 757-388-6402
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Fax | 757-961-6440
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD61432960
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | R10395
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD61432960
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101272560
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License Number State | VA
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