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General NPI Number Information
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NPI Number | 1982641916
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Entity Type | Individual
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Provider Name | BAO CAO NGUYEN MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 2365 QUIMBY RD STE 100
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City | SAN JOSE
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State | CA
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Zip | 95122-1337
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Country | US
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Telephone | 669-888-0001
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Fax | 669-888-0551
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Provider Business Mailing Address
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Address Line | PO BOX 974960
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City | DALLAS
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State | TX
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Zip | 75397-4960
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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 |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C164149
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | TM00078
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD.201298
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25000
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License Number State | OK
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 37910
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License Number State | CO
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