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General NPI Number Information
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NPI Number | 1356413447
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Entity Type | Individual
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Provider Name | BICH HA PAULINE NGUYEN DMD
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Gender | Female
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 140 UNION ST #303
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City | LYNN
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State | MA
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Zip | 01901
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Country | US
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Telephone | 781-592-4438
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Fax | 701-593-1930
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Provider Business Mailing Address
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Address Line | 18 FOTTLER ROAD
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City | HINGHAM
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State | MA
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Zip | 02043
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Country | US
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Telephone | 781-749-3743
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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 | 19081
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License Number State | MA
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