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General NPI Number Information
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NPI Number | 1962486431
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Entity Type | Individual
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Provider Name | DONG V NGUYEN DPM
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Gender | Male
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 1250 8TH AVE STE 600
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City | FORT WORTH
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State | TX
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Zip | 76104-4121
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Country | US
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Telephone | 817-702-9100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 732973
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City | DALLAS
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State | TX
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Zip | 75373-4731
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Country | US
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Telephone |
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Fax | 817-702-2140
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 1687
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1687
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License Number State | TX
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