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General NPI Number Information
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NPI Number | 1831234970
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Entity Type | Individual
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Provider Name | TRANG NGOC NGUYEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 209 N BONNIE BRAE ST SUITE 305
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City | DENTON
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State | TX
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Zip | 76201-3708
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Country | US
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Telephone | 940-483-0488
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Fax |
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Provider Business Mailing Address
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Address Line | 105 W EL PASEO ST
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City | DENTON
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State | TX
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Zip | 76205-8591
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Country | US
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Telephone | 940-483-0488
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K2086
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License Number State | TX
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