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General NPI Number Information
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NPI Number | 1932915733
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Entity Type | Individual
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Provider Name | JENNIFER NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 6620 HAWKS CREEK AVE
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City | WESTWORTH VILLAGE
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State | TX
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Zip | 76114-4056
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Country | US
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Telephone | 817-921-9095
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Fax |
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Provider Business Mailing Address
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Address Line | 4262 CASCADE SKY DR
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City | ARLINGTON
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State | TX
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Zip | 76005-1164
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Country | US
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Telephone | 760-410-9046
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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