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General NPI Number Information
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NPI Number | 1285295253
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Entity Type | Individual
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Provider Name | ANGIE NGUYEN DDS
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Gender | Female
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Dates
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Enumeration Date | 06/21/2019
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Last Update Date | 06/21/2019
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Provider Practice Location Address
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Address Line | 14570 WALLISVILLE RD STE 2
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City | HOUSTON
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State | TX
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Zip | 77049-4351
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Country | US
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Telephone | 713-453-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 12702 BLANTON LN
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City | SUGAR LAND
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State | TX
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Zip | 77478-2166
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Country | US
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Telephone | 832-274-4052
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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 | 35137
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License Number State | TX
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