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General NPI Number Information
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NPI Number | 1225411994
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Entity Type | Individual
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Provider Name | HIEN PHU NGUYEN DDS
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Gender | Male
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 06/30/2015
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Provider Practice Location Address
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Address Line | 307 E UNIVERSITY DR
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City | EDINBURG
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State | TX
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Zip | 78539-3549
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Country | US
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Telephone | 956-380-2482
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Fax |
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Provider Business Mailing Address
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Address Line | 19618 WETHERWIND
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City | KATY
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State | TX
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Zip | 77449-5923
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Country | US
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Telephone | 832-704-1315
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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 | 30955
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License Number State | TX
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