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General NPI Number Information
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NPI Number | 1952892143
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Entity Type | Organization
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Legal Business Name | HUONG M. NGO, FNP-BC, PLLC
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 03/14/2020
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Provider Practice Location Address
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Address Line | 515 W MAYFIELD RD STE 416
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City | ARLINGTON
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State | TX
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Zip | 76014-2085
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Country | US
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Telephone | 817-247-1882
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Fax |
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Provider Business Mailing Address
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Address Line | 3116 PASEO
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City | GRAND PRAIRIE
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State | TX
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Zip | 75054-6833
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Country | US
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Telephone | 817-247-1882
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HUONG MY NGO
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Credential | FNP-BC, RNFA
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Telephone | 817-247-1882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP135185
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License Number State | TX
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