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General NPI Number Information
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NPI Number | 1053408898
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Entity Type | Organization
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Legal Business Name | AREA DENTAL OFFICE
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 640 N SAN JAUNTO ST STE B
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City | HEMET
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State | CA
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Zip | 92543
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Country | US
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Telephone | 951-765-3174
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Fax | 951-658-1146
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Provider Business Mailing Address
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Address Line | 640 N SAN JAUNTO ST STE B
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City | HEMET
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State | CA
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Zip | 92543
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Country | US
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Telephone | 951-765-3174
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Fax | 951-658-1146
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Authorized Official
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Title or Position | CO OWNER
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Name | DR. MINHCHAU T NGUYEN
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Credential | DDS
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Telephone | 951-765-3174
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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 |
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License Number State |
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