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General NPI Number Information
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NPI Number | 1255007563
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Entity Type | Individual
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Provider Name | MINH NHAT NGUYEN DDS
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Gender | Male
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 2954 CARRINGTON RD
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City | FORT BLISS
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State | TX
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Zip | 79916
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Country | US
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Telephone | 915-742-3303
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Fax |
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Provider Business Mailing Address
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Address Line | 9514 ASHDOWN FOREST DR
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City | SPRING
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State | TX
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Zip | 77379-3650
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Country | US
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Telephone | 832-584-7268
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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 | 12364390-9921
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License Number State | UT
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