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Individual
THAO TP NGUYEN
Active
Individual
THAO TP NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62437
WI
207Q00000X
Family Medicine Physician
DO25094
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275291
—
OR
01
—
P00458926
RR MEDICARE
OR
Enumeration date
07/11/2006
Last updated
10/04/2021
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