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General NPI Number Information
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NPI Number | 1003520073
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Entity Type | Individual
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Provider Name | ALBERT VINH KHIEM NGO
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Gender | Male
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Dates
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Enumeration Date | 01/13/2023
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 7925 SEVILLE AVE
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-6803
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Country | US
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Telephone | 562-852-3113
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Fax |
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Provider Business Mailing Address
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Address Line | 16617 HARROWAY AVE
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City | CERRITOS
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State | CA
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Zip | 90703-1462
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Country | US
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Telephone | 562-852-3113
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DDS106664
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | D11744
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License Number State | OR
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