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General NPI Number Information
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NPI Number | 1932887767
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Entity Type | Organization
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Legal Business Name | TRANG NGUYEN MD PLLC
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Dates
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Enumeration Date | 07/11/2023
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 13402 E 86TH ST N
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City | OWASSO
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State | OK
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Zip | 74055-8767
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Country | US
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Telephone | 918-401-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 6412 E 84TH ST
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City | TULSA
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State | OK
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Zip | 74137
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TRANG HUYEN NGUYEN
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Credential | MD
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Telephone | 918-850-4741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation 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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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