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General NPI Number Information
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NPI Number | 1821843897
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Entity Type | Organization
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Legal Business Name | NEURORADIOLOGY & PAIN SOLUTIONS, PLLC
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1000 N LINCOLN BLVD STE 4000
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-3252
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Country | US
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Telephone | 405-271-4912
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Fax | 405-271-3091
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Provider Business Mailing Address
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Address Line | 2716 OPEN RANGE RD
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City | EDMOND
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State | OK
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Zip | 73034-3484
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Country | US
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Telephone | 202-258-1455
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Fax | 405-643-4682
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Authorized Official
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Title or Position | OWNER / PROVIDER
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Name | DAN TD NGUYEN
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Credential | MD
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Telephone | 202-258-1455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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License Number State |
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