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General NPI Number Information
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NPI Number | 1386862613
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Entity Type | Organization
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Legal Business Name | JOHN T NGUYEN DDS PA
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 441 SHELDON RD SUITE D
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City | CHANNELVIEW
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State | TX
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Zip | 77530
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Country | US
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Telephone | 281-452-7483
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Fax |
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Provider Business Mailing Address
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Address Line | 9110 MORNINGSTAR DR
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City | SUGAR LAND
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State | TX
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Zip | 77479-3335
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Country | US
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Telephone | 713-972-4455
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN T NGUYEN
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Credential | DDS
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Telephone | 281-452-7483
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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 | 21724
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License Number State | TX
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