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General NPI Number Information
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NPI Number | 1982891438
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Entity Type | Individual
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Provider Name | MARIA NGUYEN MD
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Gender | Female
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 620 JOHN PAUL JONES CIR
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City | PORTSMOUTH
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State | VA
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Zip | 23708-2111
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Country | US
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Telephone | 757-953-5000
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Fax | 757-689-3785
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Provider Business Mailing Address
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Address Line | 973 LITTLE NECK RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-5969
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Country | US
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Telephone | 571-217-4615
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | D0067898
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD038592
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 101242189
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License Number State | VA
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