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General NPI Number Information
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NPI Number | 1205522687
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Entity Type | Individual
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Provider Name | HANNA NGUYEN DDS
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Gender | Female
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 1847 S KIHEI RD STE 270
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City | KIHEI
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State | HI
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Zip | 96753-7939
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Country | US
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Telephone | 808-856-4625
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Fax |
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Provider Business Mailing Address
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Address Line | 810 HUNTINGTON ST
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-4756
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Country | US
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Telephone | 657-206-8764
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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 | DT-3103
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License Number State | HI
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