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General NPI Number Information
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NPI Number | 1134829831
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Entity Type | Individual
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Provider Name | JENNIFER QUYNH-NHU NGO DDS
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Gender | Female
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Dates
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Enumeration Date | 03/09/2023
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 2324 FM 685 STE 400
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-4425
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Country | US
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Telephone | 512-265-8426
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Fax |
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Provider Business Mailing Address
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Address Line | 2118 KINGFISHER CT
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City | LEAGUE CITY
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State | TX
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Zip | 77573-3869
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Country | US
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Telephone |
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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 | 39543
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License Number State | TX
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