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General NPI Number Information
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NPI Number | 1396281341
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Entity Type | Organization
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Legal Business Name | HUGH NGO D.M.D., INC.
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Dates
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Enumeration Date | 01/16/2017
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Last Update Date | 01/16/2017
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Provider Practice Location Address
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Address Line | 5028 KATELLA AVE
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-2802
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Country | US
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Telephone | 562-431-4407
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Fax |
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Provider Business Mailing Address
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Address Line | 5028 KATELLA AVE
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-2802
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Country | US
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Telephone | 562-431-4407
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HUGH NGO
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Credential |
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Telephone | 714-470-9375
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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 | 53253
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License Number State | CA
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