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NPI 1013697010

NPI 1013697010 : HA BICH NGUYEN DDS : PASCAGOULA, MS

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General NPI Number Information
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    NPI Number           |    1013697010
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    Entity Type          |    Individual 
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    Provider Name        |    HA BICH NGUYEN DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/24/2023
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    Last Update Date     |    10/25/2025
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Provider Practice Location Address
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    Address Line         |    4001 DENNY AVE STE 1 
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    City                 |    PASCAGOULA
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    State                |    MS
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    Zip                  |    39581-5403
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    Country              |    US
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    Telephone            |    337-701-3941
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    851 FLAMINGO CV 
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    City                 |    BILOXI
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    State                |    MS
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    Zip                  |    39532-4658
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    Country              |    US
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    Telephone            |    228-627-0989
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    111919
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    License Number State |    MS
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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