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General NPI Number Information
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NPI Number | 1033366182
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Entity Type | Individual
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Provider Name | HOA VAN NGUYEN DDS
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Gender | Male
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Dates
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Enumeration Date | 08/20/2008
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Last Update Date | 08/20/2008
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Provider Practice Location Address
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Address Line | 5040 CASTLE CREEK LN
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City | PLANO
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State | TX
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Zip | 75093-4066
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Country | US
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Telephone | 469-288-1209
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Fax |
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Provider Business Mailing Address
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Address Line | 3565 W WALNUT ST STE C
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City | GARLAND
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State | TX
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Zip | 75042-6278
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Country | US
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Telephone | 469-288-1209
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0024204
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License Number State | TX
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