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General NPI Number Information
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NPI Number | 1841234333
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Entity Type | Individual
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Provider Name | ANTHONY KIEM NGUYEN D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 601 CLARA BARTON BLVD STE 145
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City | GARLAND
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State | TX
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Zip | 75042-5755
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Country | US
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Telephone | 972-560-9400
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Fax | 972-560-9401
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Provider Business Mailing Address
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Address Line | PO BOX 360541
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City | PITTSBURGH
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State | PA
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Zip | 15251-6541
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Country | US
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Telephone | 972-525-9900
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Fax | 469-333-7988
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | K7843
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License Number State | TX
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