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General NPI Number Information
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NPI Number | 1376713602
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Entity Type | Organization
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Legal Business Name | QUYNH G. NGUYEN D.D.S., P.C.
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 867 DULLES AVE SUITE F
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City | STAFFORD
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State | TX
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Zip | 77477-5705
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Country | US
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Telephone | 281-261-0575
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Fax | 281-261-2698
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Provider Business Mailing Address
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Address Line | 867 DULLES AVE SUITE F
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City | STAFFORD
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State | TX
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Zip | 77477-5705
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Country | US
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Telephone | 281-261-0575
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Fax | 281-261-2698
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. QUYNH G NGUYEN
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Credential | D.D.S., P.C.
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Telephone | 281-261-0575
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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 | 18725
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License Number State | TX
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