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General NPI Number Information
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NPI Number | 1033735527
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Entity Type | Organization
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Legal Business Name | S NGUYEN DDS, INC
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Dates
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Enumeration Date | 06/19/2020
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Last Update Date | 06/19/2020
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Provider Practice Location Address
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Address Line | 35149 NEWARK BLVD STE A
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City | NEWARK
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State | CA
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Zip | 94560-1209
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Country | US
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Telephone | 510-795-9669
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Fax |
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Provider Business Mailing Address
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Address Line | 35149 NEWARK BLVD STE A
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City | NEWARK
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State | CA
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Zip | 94560-1209
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Country | US
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Telephone | 510-500-5656
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Fax | 510-795-1404
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT HIEN NGUYEN
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Credential | DDS
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Telephone | 408-655-2284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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