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General NPI Number Information
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NPI Number | 1841238128
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Entity Type | Individual
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Provider Name | NHAT QUANG NGUYEN MD
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 831 NW COUNCIL DR SUITE 300
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City | GRESHAM
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State | OR
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Zip | 97030-3721
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Country | US
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Telephone | 503-381-8100
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Fax | 503-382-8120
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Provider Business Mailing Address
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Address Line | 831 NW COUNCIL DR SUITE 300
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City | GRESHAM
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State | OR
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Zip | 97030-3721
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Country | US
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Telephone | 503-382-8100
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Fax | 503-382-8120
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | MD26622
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD26622
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License Number State | OR
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