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General NPI Number Information
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NPI Number | 1306489364
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Entity Type | Organization
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Legal Business Name | NATALIE NGUYEN DDS PLLC
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Dates
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Enumeration Date | 10/22/2019
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Last Update Date | 10/22/2019
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Provider Practice Location Address
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Address Line | 15060 IDLEWILD RD STE F
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City | MATTHEWS
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State | NC
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Zip | 28104-3603
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Country | US
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Telephone | 919-923-6127
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Fax |
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Provider Business Mailing Address
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Address Line | 3420 PARK SOUTH STATION BLVD
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City | CHARLOTTE
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State | NC
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Zip | 28210-4465
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Country | US
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Telephone | 919-923-6127
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. NATALIE CASPERS NGUYEN
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Credential | DDS
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Telephone | 919-923-6127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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