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General NPI Number Information
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NPI Number | 1083930366
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Entity Type | Organization
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Legal Business Name | MINH-DUC DINH PHAM DDS
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Dates
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Enumeration Date | 04/12/2010
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Last Update Date | 04/12/2010
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Provider Practice Location Address
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Address Line | 9559 BOLSA AVE
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City | WESTMINSTER
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State | CA
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Zip | 92683-5986
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Country | US
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Telephone | 714-531-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 18 SORBONNE ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-8917
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Country | US
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Telephone | 714-379-9314
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MINH-DUC DINH PHAM
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Credential | DDS
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Telephone | 714-271-7323
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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 | 44057
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License Number State | CA
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