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General NPI Number Information
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NPI Number | 1376917476
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Entity Type | Organization
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Legal Business Name | MINH-NGUYEN LUONG, D.D.S, A PROFESSIONAL COORPORATION
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Dates
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Enumeration Date | 11/30/2015
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Last Update Date | 11/30/2015
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Provider Practice Location Address
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Address Line | 8000 W SAHARA AVE STE 180
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City | LAS VEGAS
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State | NV
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Zip | 89117-7906
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Country | US
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Telephone | 702-822-2300
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Fax | 702-309-9700
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Provider Business Mailing Address
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Address Line | 8000 W SAHARA AVE STE 180
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City | LAS VEGAS
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State | NV
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Zip | 89117-7906
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Country | US
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Telephone | 702-822-2300
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Fax | 702-309-9700
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JEANSSE VILLANUEVA
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Credential |
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Telephone | 702-222-9700
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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 | 3733
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License Number State | NV
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