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General NPI Number Information
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NPI Number | 1972705572
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Entity Type | Individual
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Provider Name | ERIN HOAI NGUYEN M.D
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Gender | Female
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 09/17/2009
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Provider Practice Location Address
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Address Line | 2922-B MARTIN LUTHER KING, JR. BLVD. SUITE B
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City | DALLAS
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State | TX
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Zip | 75215
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Country | US
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Telephone | 214-864-9691
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Fax |
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Provider Business Mailing Address
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Address Line | 6550 SHADY BROOK LANE APT # 126
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City | DALLAS
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State | TX
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Zip | 75206
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Country | US
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Telephone | 214-864-9691
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M8210
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License Number State | TX
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