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General NPI Number Information
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NPI Number | 1386210250
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Entity Type | Individual
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Provider Name | ANTHONY HIEU NGUYEN DDS
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Gender | Male
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 06/01/2021
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Provider Practice Location Address
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Address Line | 800 C M FAGAN DR STE A
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City | HAMMOND
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State | LA
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Zip | 70403-6062
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Country | US
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Telephone | 985-345-5888
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Fax |
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Provider Business Mailing Address
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Address Line | 4872 ALCEE FORTIER BLVD
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City | NEW ORLEANS
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State | LA
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Zip | 70129-1602
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Country | US
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Telephone | 504-450-7688
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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 | 7204
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License Number State | LA
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