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General NPI Number Information
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NPI Number | 1275450611
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Entity Type | Organization
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Legal Business Name | NAM H. NGUYEN, DDS, MD PLLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 705 PRESIDENT ST APT 3
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City | BROOKLYN
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State | NY
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Zip | 11215-1260
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Country | US
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Telephone | 813-767-0093
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Fax |
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Provider Business Mailing Address
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Address Line | 705 PRESIDENT ST APT 3
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City | BROOKLYN
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State | NY
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Zip | 11215-1260
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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 | SURGEON
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Name | NAM NGUYEN
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Credential | DDS, MD
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Telephone | 813-767-0093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number |
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License Number State |
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