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Individual
NATHAN NUENGCHANA
Active
Individual
NATHAN NUENGCHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
CLP07095
RI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/16/2026
Last updated
07/21/2026
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